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
The following lesions are common to man and animals: Marked emaciation,
cyanosis or petechiæ in skins that are naturally white, early sepsis,
cutaneous veins and heart gorged with dark inspissated blood, hyperæmic
liver and kidneys, and slightly congested, petechiated empty bladder.
The most important lesions, however are those of the central nervous
system. In seven cases out of nine, Gowers found these very distinct.
There were vascular disturbance, capillary dilatation, capillary clots,
minute hæmorrhages, and accumulations around the affected capillaries of
leucocytes occupying the lymph spaces. Benedikt and Babes attach much
importance to the formation of hyaline patches in the thickened walls of
the vessels and around them, compressing the vessels in some cases to
virtual obliteration. The nerve cells swell up, and show small hyaline
bodies in the vicinity of the nuclei, and these latter finally
disappear. Germano and Capobianco found in addition marked hyperplasia
of the neuroglia. Babes, who looks on these changes as pathognomonic,
takes a small portion of spinal cord, hardens it in alcohol for 24
hours, stains it with aniline red and examines for the characteristic
hyaline nodes.
These brain lesions have been found mainly in the medulla near the floor
of the fourth ventricle and the respiratory center, but they are also to
be found in other parts of the encephalon and spinal cord. The greater
constancy of the medullary lesions serves to explain the characteristic
symptoms.
Congestions of the peripheral nerves have also been found. Lüttkemüller
found in rabies a moderate increase of the white blood corpuscles and a
great number of microcytes.
_Therapeutic Treatment._ It was long thought that rabies was necessarily
fatal, as indeed nearly all developed cases are to the present day. For
this reason and much more on account of the risk of preservation and
propagation of the deadly germ, the attempts at curative treatment in
the lower animals have been looked on as utterly unwarranted or
absolutely criminal. Yet it is now known that very exceptionally a
recovery takes place, and in that case immunity for the future may be
counted on. Yet the frightful danger attendant on the preservation and
treatment of a rabid animal, may well forbid the keeping of any of the
lower animals affected by rabies unless it be in the safest seclusion
and for the production of immunizing or curative products.
_Orrotherapy_ with the blood serum of an immunized animal is of little
value, and attended by risk from the rabid animal, but will be noticed
below as a prophylactic.
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