The principles and practice of modern surgeryPark, Roswell
Science
The principles and practice of modern surgery
Park, Roswell
Surgery
Like some of the other infectious diseases glanders appears to be
variable in its manifestations. While infection occurs probably through
some superficial abrasion, it is almost certain that it may also occur
through the unbroken mucous membrane of the respiratory organs. It
is said to be also capable of transmission from mother to fetus _in
utero_. So far as known in man, infection occurs practically invariably
through some slight abrasion, either of the skin or the mucous membrane
of the nose, the eye, or the mouth. The discharges from the nostrils of
affected animals are extremely virulent, and infection comes usually
from this source. It is said to have been communicated from one patient
to another by eating from the same dish or by drinking from a pail used
by a diseased horse.
Glanders is due to the specific bacillus known as the _bacillus
mallei_. It is shorter and plumper than the tubercle bacillus, in
length about one-third the diameter of a red corpuscle. It is a
non-motile organism, occasionally spore-bearing, not very resistant,
belonging to the facultative anaërobic forms, growing best at blood
temperature, taking stains easily, and losing them in the same way.
=Symptoms.=--Glanders is seen usually in workers and hangers-on in
stables. The _acute_--the common--form has a _period of incubation_
of from three to seven or eight days, after which both local and
general symptoms supervene. About the infected region a form of
cellulitis appears, assuming often a more or less phlegmonous type,
with implication of the adjacent lymphatic nodes and evidences of
periphlebitis and perilymphangitis. Over the affected area vesicles
appear, which become hemorrhagic and later suppurate. A wound which has
healed may reopen. Almost always there are accompanying constitutional
disturbances of septic type, occasionally chills, pyrexia, etc. It is
rather characteristic of glanders to have severe pain in the muscles
and extremities, with epistaxis and formation of metastatic tumors and
edematous swellings in various parts of the body. Frequently, later
in the disease, appears a somewhat distinctive eruption, papular in
character, merging into pustular. Hemorrhagic bullæ are also often
seen. Pustulation and edema of the face change its appearance. There
are also edema of the eyelids and _mucopurulent discharge from the
conjunctivæ and the nose_. This latter discharge is often ozenous in
character. Upon inspection of the nasopharynx and oropharynx a similar
condition will be noted. In connection with these local signs more or
less general furunculosis also will be observed. Obviously, as these
local conditions intensify and multiply, septic disturbance will be
increased, and the patient dying of acute glanders dies generally of
septicemia or intoxication and exhaustion combined.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account