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whether any particular plant or group of plants is the source of the
infection and whether any special condition of the soil favors it. Very
little positive information is at hand on these questions. It would be very
desirable for those who live in localities where this disease is prevalent
to make statistical and other observations on the occurrence of the disease
with reference to the season of the year, the kind of feed, the nature of
the soil (whether swampy or dry, recently reclaimed, or cultivated for a
long time) upon which the animals are pastured or upon which the feed is
grown.
It is highly probable that such investigations will lead to an
understanding of the source of the fungus and the means for checking the
spread of the disease itself. Veterinarian Jensen, of Denmark, made some
observations upon an extensive outbreak of actinomycosis a number of years
ago which led him to infer that the animals were inoculated by eating
barley straw harvested from pieces of ground just reclaimed from the sea.
While the animals remained unaffected so long as they pastured on this
ground or ate the hay obtained from it, they became diseased after eating
the straw of cereals from the same territory. Others have found that cattle
grazing upon low pastures along the banks of streams and subject to
inundations are more prone to the disease. It has also been observed that
feed gathered from such grounds, even after prolonged drying, may give rise
to the disease. Actinomycosis is not infrequent in cattle in the Southwest
and is generally supposed to be the result of eating the prickly fruit of
the cactus plant, causing wounds of the mucous membrane and subsequent
infection with the parasite. Much additional information of a similar kind
must be forthcoming before the source and manner of infection in this
disease and its dependence upon external conditions will be known. It is
not at all improbable that they may vary considerably from place to place.
_Treatment._--Until recently this has been almost entirely surgical. When
the tumors are external and attached to soft parts only, an early removal
may lead to recovery. This, of course, can be undertaken only by a trained
veterinarian, especially as the various parts of the head and neck contain
important vessels, nerves, and ducts which should be injured as little as
possible in any operation. Unless the tumor is completely removed it will
reappear. Disease of the jawbones is at best a very serious matter and
treatment is liable to be of no avail.
In March, 1892, an important contribution to our knowledge of this subject
was made by Nocard, of the Alfort Veterinary School, in a communication to
the French Central Society of Veterinary Medicine. He showed clearly that
the actinomycosis of the tongue, a disease which appears to be quite common
in Germany, and is there known as "wooden tongue," could be quickly and
permanently cured by the administration of iodid of potassium. Nocard calls
attention to the success of Thomassen, of Utrecht, who recommended this
treatment so long ago as 1885, and who has since treated more than 80
cases, all of which have been cured. A French veterinarian, Godbille, has
used the same remedy in a number of cases of actinomycosis in the tongue,
all of which have been cured. Nocard also gives details of a case which was
cured by himself.
All the cases referred to were of actinomycosis of the tongue, and no one
appears to have attempted the cure of actinomycosis of the jaw until it was
undertaken by Nˆrgaard, of the Bureau of Animal Industry. In April, 1892,
he selected a young steer in fair condition which had a tumor on the jaw
measuring 15-1/2 inches in circumference and from which a discharge had
already been established. This animal was treated with iodid of potassium,
and the result was a complete cure.
The iodid of potassium is given in doses of 1-1/2 and 2-1/2 drams once a
day, dissolved in water, and administered as a drench. The dose should vary
somewhat with the size of the animal and with the effects that are
produced. If the dose is sufficiently large signs of iodism appear in the
course of a week or 10 days. The skin becomes scurfy, there is weeping from
the eyes, catarrh of the nose, and loss of appetite. When these symptoms
appear the medicine may be suspended for a few days and afterward resumed
in the same dose. The cure requires from three to six weeks' treatment.
Some animals, generally the ones which show no signs of iodism, do not
improve under treatment with iodid of potassium.
If there is no sign of improvement after the animals have been treated four
or five weeks, and the medicine has been given in as large doses as appear
desirable, it is an indication that the particular animal is not
susceptible to the curative effects of the drug, and the treatment may
therefore be abandoned.
It is not, however, advisable to administer iodid of potassium to milch
cows, as it will considerably reduce the milk secretion or stop it
altogether. Furthermore, a great part of the drug is excreted through the
milk, making the milk unfit for use. It should not be given to animals in
advanced pregnancy, as there is danger of producing abortion.
The best results are obtained by pushing the drug until its effect is seen.
The many tests to which this treatment has been subjected have proved, with
few exceptions, its specific curative value. In addition to this the tumor
should be painted externally with either the tincture of iodin or Lugol's
solution, or the drug should be injected subcutaneously into the tumor.
Godbille has given as much as 4 drams of potassium iodid in one day to a
steer, decreasing the dose one-fourth dram each day until the dose was
1-1/4 drams, which was maintained until the twelfth day of treatment, when
the animal appeared to be entirely cured.
Nocard gave the first day 1-1/2 drams in one dose to a cow; the second and
succeeding days a dose of 1 dram in the morning and evening, in each case
before feeding. This treatment was continued for 10 days, when the animal
was cured.
_Actinomycosis and the public health._--The interest which is shown
concerning this cattle disease is largely due to the fact that the same
disease attacks human beings. Its slow progress, its tendency to remain
restricted to certain localities, and the absence of any directly
contagious properties have thus far not aroused any anxiety in other
countries as to its influence on the cattle industry, not even to the point
of placing it among the infectious diseases of which statistics are
annually published. Its possible bearing on public health has, however,
given the disease a place in the public mind which it hardly deserves.
It has already been stated that the actinomyces fungus found in human
disease is considered by authorities the same as that occurring in bovine
affections. It is therefore of interest to conclude this article with a
brief discussion of the disease in man and its relation to actinomycosis in
cattle.
In man the location of the disease process corresponds fairly well to that
in cattle. The majority of cases which have been reported in different
parts of the world--and they are now rather numerous--indicate disease of
the face. The skin, tongue, or the jawbones may become affected, and by a
very slow process it may extend downward upon the neck and even into the
cavity of the chest. In many cases the teeth have been found in a state of
more or less advanced decay and ulceration. In a few cases disease of the
lungs was observed without coexisting disease of the bones or soft parts of
the head. In such cases the fungus must have been inhaled. The disease of
the lungs after a time extends upon the chest wall, where it may corrode
the ribs and work its way through the muscles and the skin. An abscess is
thus formed discharging pus containing actinomyces grains. Disease of the
digestive organs caused by this fungus has also been observed in a few
instances.
Granting the identity of the disease in man and cattle, the question has
been raised whether cattle are responsible for its occurrence in man. Any
transmission of the infectious agent may be conceived of as taking place
during the life of the animal and from the meat after slaughter. That human
beings have contracted actinomycosis by coming in contact with diseased
cattle is not shown by the cases that have been reported, for the
occupations of most of the patients did not bring them into any relation
whatever with cattle. While the possibility of such direct transmission is
not denied, nevertheless it must be considered as extremely remote.
Practically the same position is maintained at present by most authorities
as regards the transmission of the disease to man by eating meat. Israel,
who has studied this question carefully, found the disease in Jews who
never ate pork,[5] and who likewise were protected from bovine
actinomycosis by the rigorous meat inspection practiced by that race.
Furthermore, it must be borne in mind that actinomycosis is a local
disease, causing great destruction of tissue where the fungus multiplies,
but which very rarely becomes generally disseminated over the body from the
original disease focus. The fungus is found only in places where the
disease process is manifest to the eye or becomes so in a very short time
after the lodgment of the fungus. Only the greatest negligence would allow
the actually diseased parts to be sold and consumed. Finally, this
parasite, like all others, would be destroyed in the process of cooking.
Most authorities thus do not believe that actinomycosis in man is directly
traceable to the disease in animals, but are of the opinion that both man
and animals are infected from a third source, which has already been
discussed above. How far these views may be modified by further and more
telling investigations of the parasite fungus itself no one can predict.
There are still wide gaps in our knowledge, and the presentation above
simply summarizes the prevailing views, from which there are dissenters, of
course. An attempt to give the views of both sides on this question would
necessitate the summarizing and impartial discussion of all the experiments
thus far made--a task entirely beyond the scope of the present work.
Whether an animal affected with actinomycosis should be used for human food
after all diseased organs and tissues have been thoroughly removed is a
question the answer to which depends on a variety of circumstances. Among
these may be mentioned the thoroughness of the meat inspection itself, the
extent of the disease, and the general condition of the animal affected.
The Federal meat-inspection regulations require that carcasses of animals
showing generalized actinomycosis shall be condemned. If carcasses are in a
well-nourished condition, showing uncomplicated localized lesions of
actinomycosis, they may be passed after the infected organs or parts have
been removed and condemned. When the disease of the jaw is slight, strictly
localized, and without pus formation, fistulous tracts, or lymph-gland
involvement, the tongue, if free from disease, may be passed. The heads
affected with actinomycosis (lumpy jaw), including the tongue, shall be
condemned, except that when the lesions in the jaw are strictly localized
and slight in extent, the tongue may be passed, if free from disease.
ANTHRAX.
Anthrax or charbon may be defined as an infectious disease which is caused
by specific bacteria, known as anthrax bacilli, and which is more or less
restricted by conditions of soil and moisture to definite geographical
localities. While it is chiefly limited to cattle and sheep, it may be
transmitted to goats, horses, cats, and certain kinds of game. Smaller
animals, such as mice, rabbits, and guinea pigs, speedily succumb to
inoculation. Dogs and hogs are slightly susceptible, while fowls are
practically immune. The variety of domesticated animals which it may attack
renders it one of the most dreaded scourges of animal life. It may even
attack man. Of this more will be stated further on.
* * * * *
ACTINOMYCOSIS (LUMPY JAW).
DESCRIPTION OF PLATES.
PLATE XXXIX. Actinomycosis. (From Jˆhne's Encyklop‰die d. gesammt.
Thierheilkunde.)
Fig. 1. Actinomycosis of the jaw. The lower jawbone has been extensively
eaten away by the disease.
Fig. 2. Actinomyces fungus from a tumor of the jawbone in cattle, magnified
550 times.
PLATE XL. Actinomycosis of the jaw. (Reduced one-half. From Jˆhne's
Encyklop‰die d. gesammt. Thierheilkunde.) The lower jaw is sawed through
transversely, i.e., from right to left, and shows the disease within the
jawbone itself; _a_, within the mouth, showing the papillÊ on the mucous
membrane of the cheek; _b_, front view of a molar tooth; _c_, the skin
covering the lower surface of the jawbone; _d_, the jawbone hollowed out
and enlarged by the formation of cavities within it, which are filled with
the soft growth of the actinomycotic tumor. The section makes it appear as
if the bone were broken into fragments and these forced apart; _e_, a
portion of the tumor which has broken through the bone and the skin and
appears as a tumor on the cheek. The little roundish masses represent the
granulomata (minute tumors) in which the fungus vegetates.
PLATE XLI. Actinomycosis of the lungs.
Fig. 1. Transverse section of the ventral lobe of the right lung, from a
case studied in the laboratory. The yellowish dots represent the places
where the actinomyces fungus is lodged. The larger yellowish patches are
produced by the confluence of a number of isolated centers. The entire lobe
is of a dark flesh-red color, due to collapse and bronchopneumonia.
Fig. 2. The cut surface of a portion of the principal lobe of the same
lung, showing the recent invasion of antinomycosis from the other lobe:
_a_, large air tube; _b_, artery; _c_, a pneumatic lobule; _d_, lobule
containing minute yellowish dots. In these the actinomyces fungus is
lodged.
Fig. 3. Cut surface of a small portion of another lung, showing a few
lobules, _a._ The fungus is sprinkled throughout the lung tissue in the
form of yellowish grains, as shown in the illustration. The pleural
covering of the lung tissue is shown in profile above.
[Illustration: PLATE XXXIX.
Fig. 1
Fig. 2
ACTINOMYCOSIS.]
[Illustration: PLATE XL. ACTINOMYCOSIS OF THE JAW.]
[Illustration: PLATE XLI.
Fig. 1
Fig. 2
Fig. 3
ACTINOMYCOSIS OF THE LUNGS.]
* * * * *
_Cause._--The cause of anthrax is a microscopic organism known as the
anthrax bacillus. (See Pl. XXVIII, fig. 7.) In form it is cylindrical or
rodlike, measuring 1/5000 to 1/2500 inch in length and 1/25000 inch in
diameter. Like all bacteria, these rodlike bodies have the power of
indefinite multiplication, and in the bodies of infected animals they
produce death by rapidly increasing in numbers and producing substances
which poison the body. In the blood they multiply in number by becoming
elongated and then dividing into two, each new organism continuing the same
process indefinitely. Outside the body, however, they multiply in a
different way when under conditions unfavorable to growth. Oval bodies,
which are called spores, appear within the rods, and remain alive and
capable of germination after years of drying. They also resist heat to a
remarkable degree, so that boiling water is necessary to destroy them. The
bacilli themselves, on the other hand, show only very little resistance to
heat and drying. It has long been known that the anthrax virus thrives best
under certain conditions of the soil and on territories subject to floods
and inundations. The particular kinds of soil upon which the disease is
observed are black, loose, warm, humous soils; also those containing lime,
marl, and clay, finally peaty, swampy soils resting upon strata which hold
the water, or, in other words, are impervious. Hence fields containing
stagnant pools may be the source of infection. The infection may be limited
to certain farms, or even to restricted areas on such farms. Even in the
Alps, more than 3,000 feet above sea level, where such conditions prevail
in secluded valleys, anthrax persists among herds.
Aside from these limitations to specific conditions of the soil, anthrax is
a disease of world-wide distribution. It exists in most countries of
Europe, in Asia, Africa, Australia, and in our own country in the lower
Mississippi Valley, the Gulf States, and in some of the Eastern and Western
States. It seems to be gradually spreading in this country and every year
occurs in new districts.
Meteorological conditions also have an important share in determining the
severity of the disease. On those tracts subject to inundations in spring a
very hot, dry summer is liable to cause a severe outbreak. The relation
which the bacillus bears to these conditions is not positively known. It
may be that during and immediately after inundations or in stagnant water
the bacilli find nourishment enough in the water here and there to multiply
and produce an abundant crop of spores, which are subsequently carried, in
a dry condition, by the winds during the period of drought and disseminated
over the vegetation. Animals feeding upon this vegetation may contract the
disease if the spores germinate in the body.
Another source of the virus, and one regarded by many authorities as
perhaps the most important, is the body of an animal which has died of
anthrax. It will be remembered that in such bodies the anthrax bacilli are
present in great numbers, and wherever blood or other body fluids are
exposed to the air on the surface of the carcass there the formation of
spores will go on with great rapidity in the warm season of the year. It
will thus be readily understood how this disease may become stationary in a
given locality and appear year after year and even grow in severity if the
carcasses of animals which have succumbed to it are not properly disposed
of. These carcasses should be buried deeply, so that spore formation may be
prevented and no animal have access to them. By exercising this precaution
the disease will not be disseminated by flies and other insect pests.
We have thus two agents at work in maintaining the disease in any
locality--the soil and meteorological conditions, and the carcasses of
animals that have died of the disease. Besides these dangers, which are of
immediate consequence to cattle on pastures, the virus may be carried from
place to place in hides, hair, wool, hoofs, and horns, and it may be stored
in the hay or other fodder from the infected fields and cause an outbreak
among stabled animals feeding upon it in winter. In this manner the
affection has been introduced into far-distant localities.
_How cattle are infected._--We have seen above that the spores of the
anthrax bacilli, which in their functions correspond to the seeds of higher
plants and which are the elements that longest resist the unfavorable
conditions in the soil, air, and water, are the chief agents of infection.
They may be taken into the body with the feed and produce disease which
begins in the intestinal tract, or they may come in contact with scratches,
bites, or other wounds of the skin, mouth, and tongue, and produce in these
situations swellings or carbuncles. From such swellings the bacilli
penetrate into the blood and produce a general disease.
It has likewise been asserted that the disease may be transmitted by
various kinds of insects which carry the bacilli from the sick and
inoculate the healthy as they pierce the skin. When infection of the blood
takes place from the intestines the carbuncles may be absent. It has
already been stated that since anthrax spores live for several years, the
disease may be contracted in winter from feed gathered on permanently
infected fields.
The disease may appear sporadically, i. e., only one or several animals may
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