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
_Lesions._ Pyæmia may result from a wound or abscess in connection with
which will usually be found a vein containing a thrombus more or less
softened or liquefied. If from a deep seated injury or from
osteomyelitis, the same condition is met with. The thrombus and
circulating blood furnish abundance of the infective microbes, and at
distant points, in the complimentary circulation, most commonly in the
lungs the arteries are found to be the seats of _embolism_ from arrested
clots. The arrest always takes place where the vessels are diminished by
bifurcation, or the giving off of a considerable colateral trunk, and
the appearances will depend on the duration of the embolism. If quite
recent, a wedge-shaped mass of tissue supplied by the vessel is ischæmic
and pale, its blood passing on into the veins without further arterial
supply; if later, this tissue forms an _infarct_ being gorged with deep
red or black blood which has filtered in from adjacent anostomosing
capillaries and distended those of the exsanguine area. This area
becomes of a deep red or black color, consolidated by an exudate of
lymph, and rapidly invaded by suppuration. The microbes determine
suppuration and softening, first in the clot and intima, and next in the
outer coats of the vessel and the surrounding exudate, so that an
abscess of variable size may result. Abscesses are usually smaller and
more numerous in the acute forms of the disease, and larger and less
numerous in the more chronic.
Ulcerative endocarditis with coagula on the valves is not uncommon. The
spleen is often the seat of small abscesses in the centre of solid
exudates, with in many cases softening and enlargement of the organ. The
blood tends to retain its normal bright red color, and clots firmly,
contrary to the usual condition in septicæmia.
_Symptoms._ The formation of emboli and secondary abscess is usually
marked by a violent rigor, lasting from a few minutes to an hour and
which may be repeated at irregular intervals, serving, in some measure,
to distinguish pyæmia from septicæmia. The temperature rises with the
rigor, (102° to 105°) but shows marked remissions especially in the
morning, when it may not exceed the normal, and rising again with the
recurrence of chill or staring coat. The pulse is usually encreased in
frequency even during the remissions and is soft and compressible.
Remissions may be attended by profuse perspirations or even, in the
advanced stages, by fœtid diarrhœa. The breath has a peculiar sweetish
or mawkish odor. Blood passed with the fæces may indicate intestinal
abscess, and albumen or pus in the acid urine, bespeaks suppurating foci
in the kidney. The cloudy mucus from the pelvis of the kidney in the
horse must not be mistaken for this. Cough or dyspnœa will indicate
abscess of the lungs, and intercostal tenderness, pleurisy.
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