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 _debility of the system or of individual tissues attacked_, lowers
the resistant power, and especially that of leucocytosis, and thus
favors survival and encrease of the microbes and their chemical
products. Thus the _shock_ succeeding a serious operation, the general
depression attendant upon severe illness, or the poisoning by
narcotizing ptomaines and toxins, may easily become the extra weight
which causes the system to succumb. On the contrary, pre-existing or
long standing disease, with consequent general debility appears at times
to prove to some extent a protective factor, the previous exposure to
the invading germ having educated the leucocytes to resist the toxins
and to produce the defensive sera which neutralize the latter or keep
the invading microbes in check. A measure of immunization has been
secured.
The resulting immunization cannot be looked on as very perfect, nor
permanent, as a specially strong inoculation by a virulent microbe, or
large dose, or different conditions of life, will entirely overcome it,
and the pyæmic fever appears. Yet in chronic cases of secondary
abscesses from a deep source of infection, the resistance is often such
as to ward off febrile pyæmia. In a horse with primary abscess situated
deeply under the humerus, free evacuation and healing of the wound,
have, in my experience, been followed by the formation of abscesses in
distant points for a period of seven years, but without any marked
febrile reaction.
The _complex nature of the infection_ appears at times to overcome the
vital resistance more effectively than will the presence of even a
potent microbe alone. Some of the worst cases follow on a wound, the
seat of complex infection, and even saprophytes are to be dreaded in
this connection. This may operate in various ways, either by mutual
combinations or decompositions of the toxic products of associated germs
producing more deleterious products, or by the individual action of one
ptomain or toxin on leucocytes, hæmatoblasts, sera, or tissue, laying it
more open to the attacks of those of another microbe which by itself
would have been comparatively harmless.
Koch’s experiments showed that the _attack is violent in ratio with the
size of the dose_: one-thousandth part of a drop of pyæmic blood was
harmless to the rabbit, while one tenth of a drop killed in one hundred
and twenty-five hours, and a syringe full in forty hours.
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