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 buccal mucosa may be dry and cracked, and the tongue coated. From
the first the animal is dull, and prostrate, and the visible mucosæ
become dusky brown or even yellowish from the liberated hæmatin. Blood
abstracted, will show the microörganism, an excess of leucocytes and
diminution of the red globules. The poison determines hæmolysis. A
cardiac murmur, usually with the first sound, betrays endocarditis. This
is especially characteristic of chronic pyæmia. Again multiple
suppurating arthritis may appear. Stupor, coma or paralysis will
indicate cerebral or meningeal lesions.
In pyæmia following trauma there is drying up of the pus which becomes
serous or bloody, a puffy condition of the granulations, and the
evidence of a thrombus in one or more veins leading out from the wound.
In other cases the occurrence of pyæmic symptoms, consequent on
parturition, metritis, omphalitis, bone-abscess or osteomyelitis, on
suppurating internal inflammations, ulcerative endocarditis, or
infective fevers like strangles, influenza, contagious pneumonia, cattle
plague, distemper, rouget, hog cholera, etc., serves to identify the
disease.
The _prognosis_ of pyæmia is always grave, and death may be expected in
six to fourteen days in acute cases. Chronic forms last much longer.
_Prevention_ is the great object in regard to surgical cases, and this
means the prevention of suppuration in the wound. As far as possible,
however, this is to be sought by asepsis, or the use of weak non-caustic
antiseptics only, as cauterized tissues form favorable culture media,
when the action of the antiseptic is spent, there being no longer any
living and resistant leucocytes present. The early excision of veins,
the seat of thrombosis, has proven successful.
In purely medical cases, the seat of the primary suppuration is not
always obvious and one is thrown back on medical treatment which is
rarely satisfactory in severe cases.
_Treatment._ When accessible even the secondary abscesses may be opened,
washed out with a weak antiseptic (3 per cent. carbolic acid solution),
and covered with antiseptic dressing. Antipyretics are worse than
useless, because of the resulting depression of the vital powers, and
the reduction of the natural powers of resistance. Calomel in small and
repeated doses tends to assist in elimination, and to counteract
complications through sepsis of the contents of the bowels. Quinine and
chloride of iron continued in large doses have been especially relied on
as antiseptic tonics. Liberal feeding, if the appetite will admit, is
all important, to tide the patient over the period of depression. In the
chronic cases tepid bathing is of great value (Senn). Senn has great
confidence in the stimulating and supporting action of alcoholic
liquors—beer, ale, porter and even whisky, and in human beings
accustomed to the daily use of these beverages they are more imperative
than in the lower animals.
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