In all likelihood, in such cases, the stalls and sheds are the harborers of this germ. It is possible that many of these outbreaks have some relation to preceding cases of the above-mentioned diseases and the greater use in winter of the stalls and sheds, thus harboring the Bacillus necrophorus.
Treatment.—The treatment consists almost solely in careful and extensive cleansing and disinfection of the mouth and other affected surfaces. The mucous membrane of the mouth should be copiously irrigated with a 4 per cent solution of boracic acid in warm water at least twice daily. As exposure to oxygen kills the bacilli, one need have no fear about disturbing or tearing off the caseous patches or necrotic tissue during irrigation. The irrigation of the sores should then be followed by the application with a brush or rag on a stick of a paste made with 1 part of salicylic acid and 10 parts of water, or the affected areas may be painted with Lugol's solution of iodin (iodin, 1; potassium iodid, 5; water, 200). Frequent injections of 1 per cent carbolic-acid solution into the mouth make an excellent treatment. The internal administration of 2 grams of salicylic acid and 3 grams of chlorate of potassium three times a day has also proved to be very beneficial when accompanied with local antiseptic treatment.
MALIGNANT CATARRH.
Malignant catarrh, or infectious catarrhal fever, is an acute infectious disease of cattle preeminently involving the respiratory and digestive tracts, although the sinuses of the head, the eyes, and the urinary and sexual organs are very frequently affected. It is relatively rare in this country, being more common on the continent of Europe. Outbreaks have occurred, however, in Minnesota, New York, and New Jersey. So far the causal agent of the disease has never been isolated, and inoculation experiments with the view of artificially reproducing the disease have proved negative in every case. In spite of the foregoing statements the consensus of opinion of eminent investigators points to malignant catarrh as being of specific origin; that is, due to some form of microorganism the contagious character of which is poorly developed. This accounts for the slow transmissibility of the disease from one animal to another. In fact, malignant catarrh is a type of that class of affections scientifically known as miasmatic diseases; that is, they remain stationary in stables with damp floors, low ceilings, poor ventilation, and bad sanitary conditions in general. Such places furnish a favorable seat of propagation for the infective material, and it will remain active for a long time, causing the loss of a few animals each year. One European veterinarian reports an instance in which the disease remained for 25 years on the same farm, attacking in all 225 animals, with a mortality of about 98 per cent.
The disease is most common in late winter and early spring, at all altitudes, and has a special preference for young, well-nourished cattle, although older animals are not immune. The time between the entrance of the infective principle into the body of the animal and the appearance of the first symptoms is relatively very long, averaging, according to German investigators, from 20 to 30 days. Fortunately, it is not a disease which spreads to any great extent or which causes severe losses, and hence legislative enactments do not seem to be necessary for its restriction.
Symptoms.—These are extremely variable according to the point of localization of the lesions. It is usually ushered in with a chill, followed by a marked rise of temperature (104° to 107° F.). The head droops, the skin is hot and dry, and the coat staring. Quivering of the muscles in various parts of the body is frequently observed. Marked dullness of the animal, passing, according to some observers, into an almost stupefied condition later on, is quite common. The secretion of milk stops in the beginning of the disease, and loss of flesh, invariably associated with the disease, is extremely marked and rapid. The lesions of the eyes may best be likened to moon blindness (periodic ophthalmia) in horses.
There is first an abundant secretion of tears, which run down the face. The lids are swollen and inflamed, and indeed this may be so marked as to cause involuntary eversion, exposing the reddened conjunctiva to view. Sunlight is painful, as is shown by the fact that the animal keeps the eyes continuously closed. This inflammation may extend to the cornea, causing it to assume a slightly clouded appearance in mild cases or a chalky whiteness in more severe affection. Cases of ulceration of the cornea followed by perforation and subsequent escape of the aqueous humor, leading to shrinking of the eyeball and permanent loss of sight, have been recorded, but these are relatively rare, although slight inflammation of the deeper structures of the eye (iris) are more frequent. In mild cases this inflammation may undergo complete resolution, but more frequently permanent cloudliness of the cornea, either diffuse or in spots (leucoma), is the result. The mucous membrane of the mouth, nose, sinuses of the head, throat, and lower respiratory passages are also involved. It is first catarrhal in character, but soon a false or diphtheritic membrane is formed, with the production of shallow ulcers. There is dribbling of saliva from the mouth and discharge from the nose, at first watery, becoming thicker and mixed with blood and small masses of cast-off croupous membrane, causing a very fetid odor. These croupous areas when they form in the throat, larynx, or windpipe, may lead to narrowing of the passages, with consequent difficult breathing and even suffocation. Various respiratory murmurs may also be heard, caused by the to-and-fro movement of mucus and inflammatory deposits along the air passages. There is also inflammation of the horn core with consequent loosening of the horn shell, and the horns are thus readily knocked off by the uneasy, blind sufferer. The animal may refuse all feed from the time of the initial rise of temperature, or in less severe cases, and especially when the lesions of the digestive tract are not so marked, the appetite may remain until the disease is well advanced. Constipation is quite common at the commencement of the attack, followed by diarrhea and severe straining, the evacuations becoming very soft, fetid, and streaked with blood. Cases of the evacuation of desquamated patches of diphtheritic membrane from the intestinal mucosa 6 to 9 feet in length have been reported. The kidneys and bladder are usually inflamed, the urine being voided with difficulty and the animal evincing signs of pain. Inflammatory elements, as albumen, casts, etc., may be seen on examination of the urine. In cows the mucous membrane of the vestibule is congested, swollen, and may contain ulcers and an excessive quantity of mucus. Abortion during advanced pregnancy is not infrequent, following a severe attack. In connection with these various symptoms there may be much uneasiness on the part of the animal, leading in some cases to madness and furious delirium, in others to spasms and convulsions or paralysis. A vesicular eruption of the skin may occur, seen principally between the toes and on the inside of the flank and in the armpits, with subsequent loss of hair and epidermis.
Like other infectious diseases, malignant catarrh pursues a longer or shorter course in accordance with the severity of the attack. In acute cases death is said to take place three to seven days after the appearance of symptoms. Recovery, if it occurs, may take three or four weeks. According to statistics, from 50 to 90 per cent of the affected animals die.
If animals which have died of this disease are examined, in addition to the changes of the mucous membrane of mouth and nasal cavities referred to above, shallow ulcers in these situations will be found occasionally. These necrotic processes may pass beneath the mucous membrane and even involve the underlying bony structure. In severe cases membranous (croupous) deposits are found in the throat. Similar deposits have been found upon the mucous membrane of the fourth stomach and intestine, which is always inflamed. There is more or less inflammation of the membranes of the brain, kidneys, and liver, and some fatty degeneration of the voluntary muscles. In countries where rinderpest occasionally appears it may be difficult to distinguish between it and malignant catarrh, owing to a general similarity of the symptoms. The principal points to be observed in differentiating between the two are the very slight transmissibility of the latter as compared with the intense contagiousness of the former, and the tendency of malignant catarrh to run a more chronic course than rinderpest, which usually results fatally in a very few days. Only a trained veterinarian who takes into consideration all the different symptoms and lesions of both diseases should decide in such cases.