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
_Course._ In moderate cases the disease may last from two to three
weeks, and in well conditioned horses, with strong constitutions, tends
to recovery. On the third to the eighth day all the symptoms appear
better, appetite, expression, alertness, breathing, pulsation and
temperature. The temperature which has been a degree, or more, higher in
the afternoon than in the morning, remains about the same from morning
to night, or is even slightly lowered; it is lower still next morning
and in two or three days may have reached 101°, still rising a little in
the afternoon. The pulmonary exudate is usually quickly absorbed though
less so than in favorable cases of influenza. Convalescence may be
completed by the end of the third or fourth week.
In _violent_ and _fatal cases_ the general symptoms tend to encrease in
violence, though the temperature may descend to 103°, and in the final
collapse to 100° or lower. In a mare presented at the college clinic
after three weeks illness and treatment elsewhere, prostration was
extreme, the head rested in the manger, the nose discharged a fetid,
glairy, frothy liquid, with grumous, bloody debris; breath offensive;
pulse 92, almost imperceptible; respirations 30, very labored; nostrils
widely dilated, flapping; temperature in vagina 103.6°, anus was open
with constant ingress and egress of air, and a watery glairy, frothy
discharge; extensive dropsy under the sternum; percussion and
auscultation indicated consolidation of lungs from the lower border up,
crepitation, creaking, and loud clucking bronchial sound. The mare
survived for forty-eight hours, the temperature descending to 100.5° in
the morning and rising to 102° and upward in the afternoon. At the
necropsy the right lung was consolidated throughout, the left had
pervious areas anteriorly and posteriorly; there were large areas of
infarction, necrosis, with encystment, caseation, and lobular and
perilobular exudation and hepatization.
Liver, enlarged, tense in its capsule, but soft and friable on its cut
surface, with areas of softening and necrosis. Both kidneys congested,
with pale zones of necrosis; right enlarged. Beside the substernal
exudate, there was extensive hæmorrhagic exudate between the serratus
magnus and ribs. The blood, very dark, brightened on exposure to air.
_Diagnosis_: This may be based mainly on the prevalence of the disease
in the district, or the fact that the victim has come from a long
railway journey with risks of exposure, or has stood by a horse just
arrived; on the prompt loss of appetite and sudden and extreme rise of
temperature, without notable lung lesions; on the deep brownish yellow
discoloration of the visible mucosæ, especially that of the eye, and on
the yellow discharge from the nose, the tardiness with which successive
cases follow each other comparatively to influenza, and the absence in
large measure of the early extreme prostration of that affection. (See
table under _influenza_).
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