Nonliquefying Nonliquefying Nonliquefying

Grows in milk; Acidifies and clots Acidifies milk growing

acidifies, often milk in 8 to 10 days freely

coagulates it

Thermal death point Thermal death point Thermal death point

(moist) 58° C. in 10 (moist) 60° C. in 10 (moist) 56° C. in 10

minutes minutes minutes

Loses virulence rapidly

when dried

Dies in water in 18 to

20 days

Lives and even Lives and grows in

multiplies in rich fæces

soils, manure, etc.

Loses virulence slowly

in light and air

Pathogenic to swine,

pigeons, sparrows,

rabbits, white and

house mice, white

rats

Guinea pigs, field mice

and hens immune

=Hog Cholera.= =McFadyean’s.= =Swine Plague.=

Hen or pigeon has Hen or pigeon dies in

slough where 48 hours, after

inoculated, diarrhœa, drowsiness, drooping

ruffled plumage, wings, sunken head,

somnolence ruffled plumage,

liquid stools, soft

black comb and

wattles, prostration

Rabbits getting 0.1cc. Rabbits getting 0.5 to Rabbits getting 0.01cc.

virulent culture 1cc. culture subcutem culture subcutem die

subcutem die in 5 to had tumor like walnut in 16 to 20 hours,

7 days with enlarged but recovered with inflamed serosæ

spleen and necrotic and lung; Petechiæ

liver foci

Weaker culture kills in Weak cultures kill in 4

10 to 20 days with to 10 days, with

enlarged spleen, or inflamed serosæ and

recovery ensues suppuration

Guinea pigs die in 7 to Not pathogenic to Guinea pigs die in 1 to

12 days Guinea-pig 4 days

Swine inoculated Swine inoculated have

subcutem have often local lesions only,

local lesions and only exceptionally

bacilli, also in fatal

lymph glands, only

exceptionally fatal

Ingestion of virulent Ingestion of 30cc. by Ingestion of virulent

cultures by fasting pigs proved always cultures by pigs is

pig causes bowel fatal usually harmless

lesions and death

Intravenous inoculation Intravenous inoculation

in pig causes causes septicæmia and

septicæmic lesions death in 1 or 2 days

and death, or chronic

diseases and typical

bowel ulcers

Intrapulmonary

infection causes

pleuro-pneumonia

Swine erysipelas kills inoculated pigeon in 3 to 8 days, and rabbit in

4 to 8 days.

_Accessory Causes._ These are especially those conditions which favor

the transmission of the germ from animal to animal. They include the

reprehensible habit of allowing swine to run at large so that herd

mingles with herd; the freedom to wander along the lines of railroad by

which hogs are carried, and where the infected excretions fall on the

ground; the scattering of infected litter or manure from a car or boat;

the use of the same cars, boats or trucks for the conveyance of infected

and sound pigs in succession, without intermediate disinfection; the use

of the same loading banks, chutes, runways, yards, pens and feeding and

watering troughs by strange pigs from all sources in succession, without

constant disinfection; the purchase of stock swine at public markets;

the return of swine from public fairs and exhibitions; the feeding and

watering of pigs on the line of streams that have drained pig pens or

pastures higher up; the use for pigs of premises that have harbored

infected ones at an earlier (even distant) date; the supply of food or

litter from barns where pigs have recently died; the admission to the

pens or yards of butchers, dealers or others who are likely to carry

infection on their persons; the admission even of wagons, dogs or other

animals, including birds, tame and wild, which are liable to carry

infection. Of all birds the buzzard is the most to be shunned as having

presumably just come from infected carrion, but barnyard fowl and small

birds that feed from the same trough with the pig are to be feared as

well. The same remark applies to rats and mice, squirrels, skunks,

woodchucks and rabbits which may easily carry the infection on their

paws. If the infection is near, flies and other insects, in the warm

season, will convey it for some distance from herd to herd. A common

cause is the feeding of swine about abattoirs where they devour the

offal and waste in a raw condition. Another is the feeding of boarding

house, hotel or other kitchen slops, raw, or without the most exhaustive

precautions in the way of cooking. Many outbreaks can be traced in this

way to the consumption by the animals of the products of infected swine.

Some indeed are fostered by the utter neglect of the parties in charge

of an infected herd, in leaving the infected carcasses exposed so that

they are eaten by wandering hogs, or portions are carried away by

buzzards, carrion crows, dogs and other animals. In some cases a strong

wind will carry the infection on dust, straw or other light object into

sound herds at a distance. The introduction into a hitherto healthy herd

of an apparently sound pig may be the occasion of a deadly outbreak. The

strange new pig may have already had the disease, and in a condition of

immunity, may without hurt to itself, carry the germ which becomes so

fatal to the susceptible.

This susceptibility is one of the most important factors. It may be

inherent in a given family or strain of blood. It may be enhanced by a

constitutional weakness, engendered by too close breeding, by breeding

from the young and immature, or from the old and worn out. It may be

favored by a general debility from starvation, faulty or injudicious

feeding, as exclusive feeding on corn (maize), an unbalanced ration,

feeding cotton seed, irregular feeding, etc. It may result from

parasitism, as round worms in the lungs, bowels, muscles, fat, kidneys

or liver, from trichinosis, from cysticerci, echinococci, or from

distomatosis. These not only lessen the force of constitutional and

phagocytic resistance, but they also in many cases open the way for the

entrance of the microbe by the wounds which they inflict. Perhaps

nothing operates more effectively in this way than the attacks of other

pathogenic microbes. The treatment of the domestic hog is often such

that it would almost appear as if it were designed to destroy health and

vitality. He is used to clear up the soiled and spoiled provender which

has been rejected by other animals. Decayed vegetables and flesh of all

kinds, which is no longer fit for other use, is supposed to be good for

him and is furnished raw. Worse still, this is conveyed in barrels that

are never washed, but are sent for each new supply reeking with

abominations which render them a nuisance on the highway. It is left

standing till wanted in these barrels, or in still larger receptacles,

which are never emptied nor cleaned, but are allowed in the hottest

weather, to continue a hotbed of the foulest fermentations. On a smaller

scale the kitchen swill barrel becomes a similar centre of

decomposition. Even at the creamery and cheese factory the surplus or

waste products often remain in a common tank breeding larvæ, toxins and

ptomaines, before they are fed to the hogs. In the hog pen, or yard,

corn in the ear is thrown on the ground, already filthy with the solid

and liquid excretions and is eaten with the rotting, if not infecting,

filth in which it has been rolled. From grubbing in this filth with his

snout, the pig plunges the latter in the liquid food in his trough and

too often he gets his feet into the food as well, and further charges it

with the injurious ferments. Again the kitchen swill is liable to

contain various inorganic poisons and notably the carbonates and

bicarbonates of potash and soda which are used to excess in the form of

_powdered soaps_ and, as shown by experiment, are deadly poisons to

pigs.

The gastro-intestinal disorders caused by these poisons; (it may be

botulism from stale or decomposing flesh, fish or fowl, the poisoning by

mouldy bread or musty grain, or meal, or by the toxins of the many and

varied saprophytic fermentations), often prove as deadly as outbreaks of

genuine hog cholera, and are habitually mistaken for them. They do not,

however, as a rule extend beyond the particular herd which has been

exposed to the faulty management, and introduce no risk of a general

spreading infection. The careless owner suffers and adjacent herds

escape, unless exposed to similar causes. But if the hog cholera germ is

present these pave the way for its destructive advance and tend to

enhance the mortality. It may even be that the combination of the two

factors is a condition of the eruption of a severe attack. The faulty

feeding or food or poison by itself could be resisted, and the

comparatively non-virulent hog cholera bacillus might have been

resisted, but with the weakened system and digestive apparatus, the

microbe finds a specially inviting field in which it can multiply

destructively, and where it can gather a virulence which will enable it

to invade and sweep away herd after herd in a deadly epizoötic.

I may add, as a prominent factor in the great modern extensions of hog

cholera, the habitual aggregation of swine in large herds. This with the

rapid steam transit of modern times, and the great aggregations of hogs

in one common market, probably contributes more than anything else to

the extraordinary diffusion of the infection. By accident, purchase or

otherwise, a large herd becomes infected, and the owner, knowing that

delay is ruin, at once ships the apparently healthy animals to market;

these infect anything they or their excretions come in contact with; if

sold in smaller lots they carry infection into every locality where they

go, and along the route; if sold for slaughter, they still diffuse

infection through the herds that receive their butcher and kitchen

trimmings.

Finally other domestic animals may bring in an infection which becomes

manifested by symptoms similar to those of hog cholera, and which if

really different, yet serves to pave the way for such an outbreak.

Galtier’s remarkable experience with a _pneumo-enteritis_ in sheep,

introduced into five separate flocks by infected pigs from the same

market, is significant in this respect. It is further significant that

the hog cholera bacillus is a very protean microbe. Th. Smith, to whom

we owe more than to any one else the identification of the germ, gives

seven varieties, which showed well-marked distinctions in their

morphology, in their modes of growth on culture media, in the amount of

gas they respectively produced in a glucose bouillon, or in their

pathogenesis for rabbits. One of these modified germs which has largely

parted with its virulence for pigs and some other animals, may under

specially favorable conditions, resume its former potency and proceed on

a new career of infection.

_Lesions in the Acute or Septicæmic Form._ The skin and subcutaneous fat

are the seats of diffuse blotches or spots of a deep red varying from

dark purple to light red, confined it may be to the inner sides of the

arms and thighs the belly, the ears, eyelids, and muzzle, or it may be

all but uniformly diffused over the body. When pressed so as to expel

the blood, the greater part of the surface may be momentarily whitened,

but red points remain representing the minute extravasations. Under the

microscope the red points show tortuous and enlarged capillaries with

here and there a rupture and minute clot. The visible mucosæ may show

similar petechiæ, as may also the serosæ of the chest, cranium and

abdomen. In the latter blood extravasations are liable to be more

extensive. The spleen and lymph glands (particularly those of the bowels

and omentum, the sublumbar and subdorsal regions) are usually enlarged,

gorged with blood and softened. Many of the lymph glands may escape, and

in others the congestion is largely confined to the cortical portion.

The lungs may show petechiæ and even extensive hæmorrhages into their

substance. The kidneys may show petechiæ in the glomeruli, the medullary

substance, the papillæ or the pelvic mucosa, or there may be larger

circumscribed hæmorrhages.

The stomach in its greater curvature especially is usually deeply

congested and petechiated, with small submucous extravasations, and

these conditions are liable to be still more marked in the small

intestines and especially in the large, which may have a dark red or

port wine hue. Blood may be present in clots among the contents.

Necrotic ulcers are absent.

_Lesions in the Protracted and Chronic Forms._ The lesions of the skin

are usually less extensive than in the acute type, and may be almost

entirely absent. The lymph glands are enlarged and congested, though the

discoloration may be largely confined to the cortical layer. The spleen

is as a rule normal in size. The liver is firm, but it may show

softening of the secreting acini and encrease of the fibrous framework.

Petechiæ or circumscribed hæmorrhages may or may not be present on or

under the serosæ or in the tissues.

The characteristic lesions belong to the gastric-intestinal organs.

Congestions and ulcers may be found on the gastric mucosa, on that of

the small intestine, and rectum, but they are above all common on the

ileocæcal valve, cæcum and first half of the colon. In the earlier

stages of these lesions the mucosa and submucosa are the seat of a

congestion and exudation, but later the round button-like ulcer usually

stands out prominently with its necrotic centre dirty white, brown or

black, and composed of superposed layers, the whole resting on a

congested and thickened submucosa. This contains small round and giant

cells and may show considerable encrease in connective tissue. The

ulcers may be seated on the agminated or solitary glands but do not show

the same predilection for these parts which is seen in typhoid fever.

_Incubation._ This varies according to the dose and susceptibility from

two or three to as many as thirty days. With the short incubation the

disease tends to assume its most acute and deadly type, while the

prolonged incubation bespeaks a milder form. During ordinary outbreaks

from six to fourteen days represent the average interval between

exposure and the onset of active symptoms. During the extreme heats of

summer and the excessive cold of midwinter in our northern states

incubation tends to be shortened.

_Symptoms in Fulminant Type._ In violent outbreaks some pigs are found

dead without observed preliminary symptoms, and have been set down as

fulminant examples of the disease. When these occur during very hot

weather, in open yards or fields, there is reason to believe that

insolation, acting on a system rendered specially susceptible by the

toxic fever, has much to do with the early death. Though seldom observed

during life, it has been said that such cases, show extreme dulness,

prostration, stupor, weakness, unsteady gait, thirst, hyperthermia,

persistent recumbency, and at times red blotching of the skin and even

convulsions.

_Symptoms in Acute Type._ In contrast with erysipelas these may advance

slowly and insidiously, there is a lack of the customary life and

vivacity, the tail droops, appetite is impaired, the pig creeps under

the litter and lies there, preferably on its belly, a great part of its

time, there may even be tremors suggestive of slight chill, when moved

it shows weakness, may stagger, or it may have difficulty in rising on

its hind limbs and there is encreased thirst and heat of the skin. Even

in the absence of shivering or chill, the skin is usually tender to the

touch, calling out plaintive grunting or squealing, and the same is

often true of manipulation of the belly. The temperature is raised, yet

this must be compared with the previous temperature under the conditions

in which the pig has been kept. That may have been anywhere from 100° F.

in a confined, cold, draughty pen, to 104° F. in a warm, dry pen and

with plenty of exercise. In hog cholera it may rise 1° to 3°. The

patient is breathless under exertion, the circulation is accelerated and

the mucosæ congested.

Sooner or later, (usually by the second or third day) the skin shows an

erythematous blush, especially on the ears, breast, belly and inner

sides of the thighs and forearms, in greater part effaceable by pressure

but promptly reappearing and complicated by darker spots of

extravasation which retain their color under pressure. The blush may

appear in spots of ⅒ to ⅓ inch in diameter, or it may cover the region,

or indeed the whole body uniformly. At first of a brighter red it tends

to pass in succession through the different shades of purple and violet.

Appetite becomes more and more impaired, and in exceptional cases

vomiting may occur, but often the pig will drink liquid food to the

last. A marked symptom is the enlargement of the inguinal lymph glands,

which may even be tender. An early symptom is watering of the eyes, and

later a muco-purulent exudate may form, and drying, gum the lids

together. An abundant exudate appears on the skin as the disease

advances, most abundantly about the eyelids, roots of the ears, axillæ

and groins, but often covering the whole body, forming a foul greasy

inunction, and later a black scaly covering.

The bowels may be costive at first, with fæces, firm, moulded, and

covered with mucous, and this may continue to the end. In most cases,

however, about the second or third day they become soft, pultaceous and

finally liquid, profuse, fœtid, and mixed with abundance of mucous or

even blood. The color varies, they may be whitish, yellowish (on maize

diet), red, or black (on swill).

Petechiæ usually form on the mucosæ and small sloughs and ulcers may be

found on the lips, tongue or elsewhere on the buccal mucosa.

A cough may be present but is by no means a marked symptom.

Emaciation advances with great rapidity, the patient arches the back,

tucks up the abdomen, moves weakly and unsteadily or is unable to rise,

and dies in one or several weeks, it may be quietly or in a state of

coma, but usually without convulsions.

_Symptoms in Subacute and Chronic Forms._ In this type the disease may

be obscure, and even overlooked, so that infected animals carry the

microörganism into fresh herds, without rousing a suspicion as to its

true source. In other cases, after a slow and progressive development,

it takes on such a distinct pathognomonic character that its diagnosis

becomes more easy.

In the slightest cases there may be only a capricious or irregular

appetite, drooping tail, enlarged inguinal glands, and a progressive

emaciation, with loss of life and strength and occasional irregularity

of the bowels. The greasy exudation on the skin and black scaly

encrustation is not uncommon. Such patients usually survive but they are

liable to prove unthrifty and unprofitable.

In other cases the pig becomes dull and listless, leaves its fellows,

creeps and lies much under the litter, has impaired or irregular

appetite, some costiveness followed by a fœtid diarrhœa, abdominal

tenderness, enlarged inguinal glands, progressive emaciation, arched

loins, hollow flanks, skin exudation, and oftentimes in the end

erythematous eruption with petechiæ and black scaly exudate on the skin.

It is in these protracted cases especially that the formation and

detachment of the necrotic intestinal sloughs take place and these may

pass in the fæces as flattened rounded masses or more extensive plaques.

Necrotic ulcers are also liable to show on the buccal mucous membrane or

skin. The patient may finally die of colliquative diarrhœa, of

exhaustion and marasmus, in a state of coma as in the more acute cases.

The mortality may be high and the survivors are liable to prove

unthrifty and unprofitable.

_Diagnosis._ With a group of plagues in swine bearing a strong family

resemblance, and maintained by microörganisms, which, though maintaining

distinct characters, yet show so much in common that it seems not

impossible that they may have been originally derived from a common

ancestor, and in face of the not infrequent complication of two of these

microbes in one patient, it becomes a task of great difficulty to

diagnose at once the particular outbreak that is met with in the field.

In some outbreaks, however, the differential features are clear enough

to allow the veterinarian to pronounce at once on the true nature of the

disease. In others he must withhold his diagnosis until he can put it to

the test of microscopic examination, bacteriological culture, the Widal

test, or inoculation.

_Hog Cholera_ may be decided upon, when upon wholesome food, in healthy

environment, without any change of food, and in six to fourteen days

after the introduction of pigs from outside, or the arrival of strange

pigs in the near vicinity, or higher up on the watershed, sickness

appears tardily, taking one or two daily, with or without a sudden

hyperthermia, petechiæ on nose, eyes, belly, axilla, or groin, a general

soreness of the skin and abdomen, stiffness or weakness, hiding much

under the litter, enlargement of the lymph glands, costiveness with dark

red rectum and glazed dung, followed by a profuse, watery, fœtid,

bloody, black or yellow diarrhœa, and death mostly after one or two

weeks or more. The absence of cough, and the presence of ulcers bearing

necrotic sloughs on the lips, mouth or skin, and above all the presence

of the button-like necrotic ulcers on the mucosæ of the cæcum, colon or

ileum may be accepted as conclusive evidence on this point. So also its

prompt fatality to rodents, but not to pigeons.

Swine erysipelas has a much shorter incubation, more rapid and violent

onset, deeper, darker congestion of visible mucosæ, more extensive

petechiæ of skin, mucosæ, serosæ, and tissues generally, a comparative

absence of inflammatory and necrotic lesions of bowels, a very early and

high mortality in swine, rabbits and pigeons, and a harmlessness toward

the inoculated Guinea pig.

_Swine plague_ also shows a shorter incubation, a speedy elevation of

temperature, more mucous congestion, less indication of abdominal

tenderness or of diarrhœa, more cough, dyspnœa, wheezing and objective

symptoms of pulmonary consolidation, less congestion or engorgement of

the spleen, or ulceration of the bowels, and finally is very much more

fatal to pigeons, and spares neither rabbits nor Guinea pigs.

_Widal test._ The cessation of movements and the agglutination of the

bacilli of hog cholera, noted by Dawson, is a valuable test, but as in

the case of typhoid fever in man is not to be implicitly relied on in

all cases. Some of the forms of bacillus coli commune and other allied

microbes act in a similar way. It necessitates the maintenance of fresh

(24 hours) active, artificial, agar cultures of the hog cholera bacillus

and is thus virtually reserved for the bacteriological laboratory. A

drop of blood is drawn from the suspected pig smeared very thinly on the

cover glass and about 10 times the amount of sterile water added. Then

the smallest possible addition of the agar culture of the bacillus is

made. Immediately, or in ½ hour the bacilli cease their active motility

and mass together in clumps in which they can be seen individually clear

and distinct but absolutely still and crossing each other in all

directions forming a kind of network. A few isolated bacilli remaining

in the intervals between the clumps and even showing a slight motility

are not to be considered as invalidating the reaction.

The table on the next page will serve to place in contrast the

differential phenomena of the diseases caused by bacilli of hog cholera,

swine plague and swine erysipelas in uncomplicated infections.

_Prevention._ As in all other contagious diseases, effective preventive

measures imply the destruction of the pathogenic germ and all sanitary

measures should aim at the early and final extinction of this organism

and its subsequent exclusion from the country. This, however, entails an

outlay and governmental control which it seems idle to expect in the

very near future so that palliative measures, and those looking toward

success over limited areas must still be resorted to. It should be here

distinctly stated, however, that the extinction of a plague, though

often the most expensive at the start, is in the end by far the most

economical resort.

_Removal of accessory causes._ The _health_ and _vigor_ of the animal

exposed is not without its influence in case of attempted invasion by a

virus of diminished potency.

Text book of veterinary medicine, Volume 4 (of 5) · 第 25 / 144 题