Text book of veterinary medicine, Volume 3 (of 5)Law, James
Science
Text book of veterinary medicine, Volume 3 (of 5)
Law, James
Veterinary medicine
Microbian invasions of the kidney that advance slowly like glanders and
tubercle are further causes of chronic nephritis. Other secondary
microbian infections of the kidney are complications of infectious
diseases in other parts, including abscess, pyæmia, septicæmia,
ulcerative endocarditis of the left heart, bronchitis, pneumonia
(Fröhner), and of others less directly in the line of the circulation,
as omphalitis, uterine phlebitis (Lustig), abscess of the nasal sinuses,
bones, and fistulæ (Trasbot).
In other cases the nephritis is evidently a result of the irritation
caused by toxins in process of elimination by the kidneys, as there is
no evidence of a nephritic infection.
In some instances minute emboli originating in the lungs or heart,
become the starting point of the nephritis, which slowly extends by
reason of infection or low condition and special susceptibility. Disease
of the aorta or renal artery may lead to this condition as noticed by
Cadeac and Lustig. Cadeac has also noticed its association with aneurism
of the mesenteric arteries so that the strongylus (sclerostoma) armatus
may be considered as a factor. Again in old horses and dogs it has been
associated with atheroma of the aorta and renal vessels (Trasbot).
Overfeeding is not without its influence, especially when on animal
food, which charges the kidneys with excreting an excess of the
irritating urea and uric acid, and this is one reason why it is far more
frequent in house dogs than in other domestic animals. When the meat is
already decomposing and putrid there is the added evil of a quantity of
toxins and even of microbes to be eliminated from the system by the much
abused kidneys. Add to these that the dog’s urine is even in the normal
condition more dense and contains more irritating ingredients than that
of herbivora, and that owing to the slight activity of his perspiratory
apparatus he can obtain less relief from the skin, and we find a
substantial ground for the prevalence of chronic nephritis in this
animal.
Disease of the valves of the right heart or dilatation with
insufficiency of the auriculo-ventricular valves is a potent cause of
nephritis, the reflux of blood into the veins and the increased venous
tension, speedily producing passive congestion and a slow type of
inflammation in the kidney. This factor is especially liable to operate
in dogs, which are particularly obnoxious to rheumatism and valvular
ulceration, and are very subject to nervous cardiac disorders; in horses
that have contracted heaves; and in beef breeds of cattle which suffer
from fatty degeneration of the heart with dilatation.
The influence of calculi must not be overlooked, whether they are lodged
in the pelvis, the chalices, or the uriniferous tubules. Their tendency
is to induce local irritation and exudation, with fibroid degeneration
and thickening of the walls of the tubules or pelvis and of the adjacent
tissue.
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