Sanitary medicine, exercise folio : a note Oct. 25, 1892 to Mar. 10, 1893

17.

Malignant Oedema.Is a disease caused by a small spore bearing miasmatic bacillus infecting a wound. The bacilli is -anaerobic (cannot live in O) and -described by Pasteur -as a septic vibrio. The -germ exists in rich - garden soil; the difference between it, and the germ of charbon is: the latter has square ends, and is thicker and larger. While the former has round ends and is thin.

It produces disease by entering a fresh wound, or being injected into the connective tissues. But cannot do so by penetrating the skin or -a granulated wound. Nor by entering the blood stream. As the oxygen destroys the -germ. They are seen in the intestines during health and may penetrate an ulcer or wound in the intestinal tract and produce

18

the disease. After death the segments of the germs grow long.

[drawing of live germ segments] before death [drawing of dead germ segments] after death

And in about two months the virulence of the germ is lost if the animal body putrifies. If the body dries up before putrefaction the germ retains its vitality. They are very resistant to heat and antiseptics. It requires a sol. of 1 to 500 of corros. sub. to destroy them.

Symptoms. Oedema with a collection of gasis produced. The temperature rises, the subcutaneous tissue being in filtrated with a reddish yellow liquid. The swelling resembles charbon But may be differentiated, by charbon not resulting from a wound. Also from pyaemia, from the kidneys & liver not being affected.

19.

The wound has a gangrenous zone surrounding it.

Treatment Open the swellings and -allow the germs &etc to drain out, and use antiseptics Puncture with the actual cautery and inject iodine

20.

-- " -- " -- Dec 6, 1892 -- " -- "

Strangles Synonyms English, Distemper French, La Gourme German, Druse

This is an acute contagious 1894 infectious disease affecting the horse, ass, & mule. It is most frequently seen in young horses, and in those brought from the country to the city and in cold weather

Etiology It is due to a streptococcus. And susceptible animals contract it by coming in contact with the germ, which is often carried by the nasal secretions and may also be carried by the air. The incubative period is from 4 to 8 days.

Symptoms Temperature elevated sometime as high as 106° F. Acute catarrh of nasal

21.

mucous membrane from both sides. A characteristic abscess forms generally in the maxillary space.

Eruptions sometimes occur. These resemble pustules sometimes & again like the eruption of Urticaria This eruption rapidly appears and then disappears rapidly again.

The period of duration when normal is from two to three weeks.

The irregular forms are characterized by the formation of metastatic abscesses along the course of the lymphatics of the trachea and in different parts of the body.

Pathological Physiology The germ may gain access by the nasal mucous membrane or by the intestinal tract, and then into the blood from here.

Prognosis is generally favorable when