Text book of veterinary medicine, Volume 2 (of 5)Law, James
Science
Text book of veterinary medicine, Volume 2 (of 5)
Law, James
Veterinary medicine
_Diagnosis._ Supra-pharyngeal abscess is to be distinguished from pus in
the guttural pouches, by the lack of coincidence of the discharge with
the dependence of the head in grazing, eating roots or drinking from a
bucket; by the absence of the intermission when the head is elevated;
and by the fact that the discharge is less frequently limited to the one
nostril. The hearing too is less likely to be affected.
_Treatment._ As soon as the presence of pus can be recognized it should
be evacuated. This is often attempted through the roof of the pharynx,
but with such an opening there is always danger from the entrance and
decomposition of alimentary matters. If fluctuation can be felt
externally, it is better to be opened through the skin. The integument
may be incised with a lancet, and the tissues further penetrated by
manipulations with the finger nail, a grooved sound or the point of
closed scissors. In this way the vessels and nerves are pushed aside and
the dangers of hemorrhage, fistula and paralysis avoided. The cavity
must be irrigated with an antiseptic solution (carbolic acid 3:100; or
acetate of aluminum 1:20).
PSEUDOMEMBRANOUS (CROUPOUS) PHARYNGITIS.
False membranes not due to a common microbian cause. Accessory causes
in solipeds; caustics, smoke infection. Lesions: Congestion, necrosis;
croupous exudate, extending to patches on bowels and bronchia; kidney
infarctions; blood altered. Symptoms: fever, dyspnœa, mucous rattle in
throat, swelling, painful, difficult deglutition, yellow or cyanotic
mucosæ, pinched face, weakness, prostration. Duration. Diagnosis.
Treatment, as for catarrhal pharyngitis with antiseptics by inhalation
and electuary. Iron.
Pharyngites attended by the formation of false membranes are met with in
all the domestic animals and may be grouped together as a special class.
The collection of these in one group, however, must not be taken to
imply that all of these, as met with in the different animals have the
same pathology, and are due to one invariable cause. Above all it must
not be inferred that they are identical with the malignant diphtheria of
the human being. The bacillus diphtheriæ hominis isolated by Klebs in
1883, and proved pathogenic by Löffler in 1884, has not been
successfully inoculated upon any of the larger domestic animals, and has
not been found in any of the casual pseudomembranous pharyngitis of
these animals. The common feature of the group is to be found in the
formation of the false membrane, and the fact that a given disease is
placed in the group must not be held to apply to any special character,
of microbian origin, nor communicability by infection.
PSEUDOMEMBRANOUS PHARYNGITIS IN SOLIPEDS.
Cases of pharnygitis with false membranes have been seen in horses by
Delafond, Targue, Rey, Bouley, Riss, Sonin, Robertson, Dieckerhoff and
Schneidemühl.
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