The principles and practice of modern surgeryPark, Roswell
Science
The principles and practice of modern surgery
Park, Roswell
Surgery
The disease is very common among cattle in certain regions, and causes
the condemnation of many animals in every large stockyard establishment
where inspection is careful and scientific. It occurs oftener in
young than in old animals, and most frequently in those which come
from valley regions and marshes. In animals infection occurs almost
invariably through the mouth, which is easily explained by the fact
that, in grazing, the lips, tongue, and gums are likely to be irritated
and infected at any time from soil containing these fungi along with
growing grain. The path of infection is usually by the mouth, while
accident seems to determine whether the infection shall manifest itself
mainly in the intestinal canal or the respiratory tract. In animals
there is less tendency to suppuration than in man, the infection in man
being usually a mixed one. The name _lumpy jaw_, so generally given
to the affection, is indicative of the most conspicuous lesion in
cattle, for the organism, having once invaded the gum, for instance,
passes quickly to the bone, or, having involved the tongue, is not
slow to infect the lymphatics of that region. In consequence we have
tumors, often of inordinate size, which may involve the bones or the
soft parts and cause great disfigurement, along with necrosis, leading
eventually to the death of the animal. These tumors are essentially
_granulation tumors_ due to the presence of a specific irritant--the
_actinomycis_--which acts here as do the tubercle bacillus, the lepra
bacillus, etc., in other infectious granulomata.
In man the disease is generally accompanied by abscess formation,
the pus containing the distinctive yellow gritty particles which are
found in no other disease. The strong resemblance between the lymphoid
cells of this form of granuloma and the embryonal cells of sarcoma has
permitted the perpetuation of confusion between these two neoplasms.
[Illustration: FIG. 19
Actinomycosis in man. (Lexer.)]
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