Text book of veterinary medicine, Volume 4 (of 5)Law, James
Science
Text book of veterinary medicine, Volume 4 (of 5)
Law, James
Veterinary medicine
When conditions are favorable and an absolutely secluded pasture can be
secured, with shelter from storms, and where civic or state authorities
do not take effective measures to stamp out glanders, nor compensate
owners for animals killed, mild, chronic and cutaneous cases and occult
ones that have reacted to mallein without showing any other symptom, may
be subjected to treatment. They should have an open air life, a generous
diet, including grain, perfect cleanliness and pure air in the
shelter-shed, an antiseptic and tonic medication (sulphites, tonics) may
be given, and every three months a new mallein test may be applied. If
the individual horse passes two successive tests without reaction, and
shows no other indication of glanders, if his general health appears
perfect and his condition good, he may be returned to work as a sound
animal. With effective measures of extinction in force on the other
hand, and indemnity for the slaughtered animal, any such measure would
be entirely unwarrantable.
Treatment by injecting the serum of immune animal subcutem has given
encouraging results. Helman, Semmer and Itzkovitch, Pilavios, Bonome and
Vivaldi, Johne, Schindelka, Prieur and others record recoveries in
recent cases and there need be no doubt of its value in subjects that
are naturally somewhat refractory to the germ. Babes introduced the
blood serum of the ox, which is naturally immune, and Prieur speaks with
confidence of the treatment of cutaneous glanders in man and certain
cases of pulmonary glanders in the horse.
TREATMENT IN MAN.
The surgical treatment of glanders in man does not differ materially
from that given for animals. It is more frequently possible to deal with
the local lesion in its early stages and then a thorough cauterization
of the infected sore, and a little later the complete excision of the
primary nodule, or the limited regional infiltration, the curetting of
the adjacent parts and the maintenance of thorough disinfection by
irrigation, sponging and compress will often be followed by success.
Where such radical measures are inadmissible the infected parts should
be excised and curetted as far as safe and the adjacent parts subjected
to carbolic injections (1:200). Abscesses should be evacuated, fistulæ
slit open, and thorough disinfection applied. For the affected
air-passages, iodoform insufflations and antiseptic gases, sprays, and
solutions should be freely used.
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