SEPTICÆMIA HÆMORRHAGICA OF THE SHEEP: LOMBRIZ.

Synonyms. Definition. Geographical distribution, Argentina, France,

etc. Causes: bacillus; intravenously, etc., youth, verminous

affections, low condition. Bacteriology: ovoid bacillus with polar

stain, bleached by Gram’s solution, ærobic, nonmotile. Symptoms:

Chronic form in summer, diarrhœa, arched back, stiffness, emaciation,

flattened wool, segregation, impaired or depraved appetite, shedding

wool, anæmic skin, dependent dropsies, sunken eyes, weak small pulse,

temperature variable—elevated, nasal and buccal discharge, weakness,

paresis, dulness, torpor, lung symptoms, arthritis. Diagnosis: from

distomatosis and strongylosis. Acute form with high fever,

constitutional disorder, colics, diarrhœa, death in 24 to 36 hours,

subacute form. Lesions: black blood, congestions, and general

petechiæ. Lungs, liver, kidneys and spleen, congested, swollen.

Subacute cases have lighter blood, and lesions. Chronic cases anæmic,

blood diffluent, lymph glands enlarged, congested; connective tissues

and serous cavities dropsical, gastric, intestinal and hepatic worms,

spleen shrunken. Mortality: great in acute, less in chronic.

Prevention: segregation, exclusion of all sheep from unknown or

suspected flocks, antiseptic dip and quarantine for new purchases,

expose a few as a test; cleanliness, disinfectants, avoid watershed

from infected lands, wide range, outdoor life, generous diet, remove

weak, emaciated, anæmic. Immunization. Treatment.

_Synonyms._ Pasteurellosis Ovina. Infectious Pneumo-Enteritis.

_Definition._ An infectious febrile affection of the sheep, chronic or

acute, characterized by dulness, stiffness, or paresis, anorexia,

thirst, disorder of the breathing and digestive organs, black diffluent

blood, petechiæ, reddish effusions in the serosæ or connective tissue,

and congestive or inflammatory lesions of the lungs, liver, kidneys and

intestines. The presence of a cocco-bacillus (diplococcus,

strepto-cocco-bacillus, pasteurellosa) in the lesions is especially

characteristic.

_Geographical Distribution._ Though Lignieres first demonstrated this as

a bacteridian disease in the Argentine Republic, he was, after his

return, able to identify the same affection in the flocks of almost

every department of France, in newly imported English Lincolns and

German Merinos, so that there can be little doubt that the malady exists

in all or nearly all countries engaged in sheep husbandry, though it has

been usually attributed to parasitisms of the lungs, liver or alimentary

canal alone.

_Causes._ The essential cause is manifestly the bacillus, which

Lignieres has isolated, cultivated in vitro, and successfully inoculated

intravenously in the sheep, which he also infected by feeding the pure

cultures. Intravenously it proved fatal to Guinea pig, rabbit, pigeon,

chicken, rat, mouse, horse, ass and ox. Yet many other accessory causes

must be admitted as operating in different cases.

_Youth_ shows the greatest susceptibility whether the victim be mammal

or bird. So marked is this influence that the principle sufferers are

lambs just weaned or yearlings. Yet mature animals, that are debilitated

from any cause, also fall victims. The measure of immunity usually

noticed in mature sheep may well be attributed to a previous mild and

non-fatal attack of the bacillus.

_Verminous affections_ are undoubtedly predisposing causes, hence, the

common practice of attributing the malady to the worms alone. This again

in part explains the susceptibility of the young which so often harbor

worms to a dangerous extent. It seems to matter less what worms are

present than, that they are in sufficient numbers to greatly deteriorate

the health. It is noticeable, however, that those worms that make

breaches in the mucosæ, have been noted as infesting the victims of this

malady. In the stomach worms sent from Argentina, Railliet identified

Strongylus Contortus, S. circumcentus, and S. instabilis and in the

duodenum S. filicollis and S. Curticei. These, like the distomata often

found in the liver, are blood suckers and not only render the animal

anæmic, but make numerous perforations to act as infection-atria. The

various lung worms, encysting themselves in the air sacs and determining

local congestions may act in the same way, opening channels for the

entrance of the microbe.

_Low condition_ or a _low tone_ of health from any cause predisposes.

Old, worn out animals, ewes in lamb, or those just lambed, sheep that

have been shut up and denied proper exercise in winter, those on poor

feeding and perhaps nursing twins, those that have suffered from any

debilitating disease of any kind are especially obnoxious to a dangerous

attack.

_Microbiology._ The microbe, which Lignieres found in the pulmonary

lesions, is one of the colon group of pathogenic bacteria that have been

classed together as _pasteurella_. It usually appears as a very minute

ovoid bacillus which stains promptly and deeply at the poles in fuchsine

or gentian violet, leaving a clear median part, so that it seems a

_diplococcus_. It bleaches readily in Gram’s solution. Its form varies

in different culture media sometimes showing long _bacilli_, and

sometimes _streptococco-bacilli_, but the usual and characteristic

appearance is that of a _cocco-bacillus_, and to this it constantly

returns. The microbe is ærobic and nonmotile (the slow zig-zag motion

sometimes seen does not seem to be automatic). In peptonised bouillon it

produces opacity in 18 hours, or in simple bouillon in 24 to 48 hours,

the best temperature being 100° F. Gelatine plate cultures are slow

because of the compulsory low temperature, yet in 36 to 48 hours it

forms pale blue, translucent, round colonies the size of a pin head. It

never liquefies. In coagulated blood serum it forms only a thin

transparent pellicle hardly visible, and there is no growth on potato.

_Symptoms: Chronic Form._ In Argentina, Lignieres observed the disease

especially during the hot summer months (December to May), and after

weaning in the lambs. This may be from the marked change of food, from

the greater activity of microbian life at this season, from the

exhausting effect of the heat, or from a combination of two or more of

these conditions. It appears alike in the sheepfold, and on the open

prairie. In considerable flocks the symptoms may be at first overlooked,

so that the death of several sheep may be the first thing to draw

attention. Then a certain number are found to scour, arch the back, walk

stiffly, lose condition, and have the wool flattened and devoid of yolk

(_clapped_ wool). The sheep may be dull, lagging behind its fellows, or

lying apart by itself, ruminating infrequently and for shorter periods

than natural, and there may be inappetence, or depraved appetite (eating

earth), though some eat well to the end. Irregular and at intervals

capricious appetite is a frequent condition. When caught and examined,

the wool is easily torn out, the muscles are soft and wasted, (the leg

muscles may have practically disappeared), the bones stand out at all

points, the skin is pale, thin, bloodless and devoid of its subcutaneous

fat, (paper skin), there may be œdemas along the ventral aspect of the

body, pitting on pressure, and between the branches of the lower jaw

(poked), the eyes are sunken, the conjunctiva may be puffy and

œdematous, but like the muzzle and mouth they are pale and anæmic and

the pulse is small, though the excitement may have roused cardiac

palpitations. The temperature varies from time to time often reaching

105° or 106° F. There is liable to be a muco-purulent discharge from

nose and mouth especially noticeable during drinking. As the disease

advances the subject becomes weak, paretic, dull and stupid, it remains

down without interest enough to seek food, though still eating if it is

brought to it. The head is usually rested on the flank, and the animal

often lies so for days in a state of semi-stupor without disposition or

ability to rise, paretic or paraplegic. Auscultation may sometimes

detect a mucous râle or crepitus, and percussion a flatness of sound

over some part of the lung. Chronic arthritis is an occasional symptom.

_Diagnosis._ The symptoms closely resemble those of distomatosis or

strongylosis, and the disease is often complicated with one or more of

these, so that it may become difficult to judge how much is due to the

microbian infection and how much to the helminthiasis. The presence,

continuously or intermittently, of the hyperthermia is almost

pathognomonic of the operation of the microbe.

_Acute Form._ This has been particularly observed in the ewe just after

lambing, when the system is especially susceptible to microbian

invasion, and little able to cope with it. There are hot ears, nose and

feet, temperature of 104° to 106° F., accelerated pulse and breathing,

anorexia, ardent thirst, deeply congested mucosæ, colicy pains, pawing

the ground, frothy or bloody diarrhœa, arched back, pendent head, ears

and eyelids, muscular trembling, albuminous urine, plaintive cries, dark

red vaginal discharge, muco-purulent or glairy nasal discharge, and

death in 24 to 36 hours. Such animals may be in fair condition or even

fat, no time having been allowed for emaciation.

In other cases death may be delayed for three or four weeks, with the

same general symptoms, only less marked. In such cases, pregnant ewes

are likely to abort, and the lambs are born dead, or prove weak and

listless, and die when a few days old. Some have too little energy to

suck; others suck heartily but perish all the same on the second or

third day, after diarrhœa, thirst, hyperthermia, prostration, and

stupor.

_Lesions._ These vary according to the type. In the _rapidly fatal

cases_ there is dark colored blood, with congestion of the serous and

mucous membranes, which, together with the skin and often the solid

tissues, are covered with petechiæ, and even circumscribed hæmorrhages.

The lungs, liver, kidneys, spleen, and many of the lymph glands are

congested and swollen, seeming at times of a black hue as if

blood-saturated. The lesions, indeed, indicate an acute septicæmia.

In _cases that have survived three or four weeks_, the morbid changes

are slighter, the blood is brighter in tint, and the congestions less

deep in color, ecchymoses may be especially confined to the heart,

abomasum and small intestines, which may also show hæmorrhages.

Enlargement and congestion of the lymph glands are the rule, while

pulmonary consolidation and gastro-intestinal mucous inflammations are

frequently found. As in the more acute types the urine is albuminous.

In _chronic cases_ the anæmia is prominent. The clot is soft, relatively

small, elastic and black, the serum is relatively very abundant and

pale. The red globules are greatly reduced in numbers, and there are a

number of giant cells which stain deeply as in chlorosis. The lymph

glands are usually enlarged, softened and slightly congested but rarely

the seat of blood extravasation. The tissues generally are pallid, soft

and shrunken. There is a marked absence of subcutaneous and

intermuscular fat, while the connective tissue is more or less

infiltrated with a transparent, watery lymph. The serous cavities

usually contain more than the normal amount of fluid, transparent or

straw-colored, and with few globules or granules. Congestions and even

shreds of false membrane are sometimes present on the serosa. In some

cases the lungs and bronchia are the seat of inflammatory exudates,

causing nodular consolidations of from one-half to one inch in diameter.

Not unfrequently the lungs show strongylosis as the fourth stomach shows

strongylus contortus, the small intestines strongylus filicollis, tæniae

(expansa, fimbriata, etc.), the large intestines æsophagostoma

Columbiana, and tricocephalus affinis, and the gall ducts distoma

hepaticum and distoma lanceolatum. In these chronic cases the spleen is

usually shrunken, and the liver firm, sometimes even cirrhotic.

_Mortality._ The acute cases are usually fatal. Those that assume a

chronic form, if free from local lesions in important organs, well-fed,

and, above all, kept in the open air, and changed to a different

pasture, tend largely to recovery.

_Prevention._ The propagation of the infection from animal to animal is

slow and somewhat uncertain, and when introduced by the purchase of a

new ram or other animal, it may take a considerable time to affect the

stock extensively, but for this reason, and because an apparently sound

sheep may harbor the germ, it is difficult to oppose it successfully by

segregation. All the same, it is desirable to take all possible

precautions against its advent, and among these, the exclusion of

strange sheep from noninfected pastures and flocks. When the time comes

to make an outcross from the home strain, the ram must be selected not

only for his pedigree and individual qualities, but no less for the

soundness of the flock from which he is taken. If the lambs of that

flock have been decimated by disease, the best blue blood, and most

faultless form should not tempt the flockmaster. He should be rejected

in favor of one taken from a flock that is above suspicion. It matters

little if it can be plausibly argued that the mortality came from worms

of the lungs, liver, or digestive organs; these in themselves may soon

ruin any flock, but they, too, often coexist with the microbe of

infectious septicæmia, and, when this is the case, they prepare the

system and open a way for its invasion.

New purchases should not only be selected from apparently sound and

guaranteed stock, but they should be passed through an antiseptic dip on

arrival, and then if possible quarantined in a special enclosure until

they shall have proved their freedom from infection. A valuable ram may

be placed with some lambs or yearlings in close quarters to ascertain

whether he has brought the infecting matter with him. If all escape

after some months the presumption is that he is sound. Perfect

cleanliness of the fold should be maintained, and disinfectants may be

freely used in it.

The water supplies should be watched, rejecting streams that have

drained sheep-pastures where there have been marked losses of lambs and

ewes. Water from deep wells without any surface leakage is to be

preferred.

When new stock (ram, ewes, lambs) are of necessity mixed with the sound

herd, a wide range, an open air life, and abundant dietary must be

secured. The system that is full of strength and vigor can better resist

the microbe and even throw it off entirely, whereas the weak, confined

subject succumbs. For the same reason, the weak, emaciated and

debilitated subjects should be at once separated from the sound flock,

and kept in a special enclosure, in the open air, on a rich diet. Should

they harbor worms, this seclusion is even more imperative. (See

parasites of lungs, liver, stomach and bowels).

Lignieres advocates immunization by serum prepared on the Pasteur

method, but, as he has not divulged the exact technique of its

preparation, it is impossible as yet, to give this an unqualified

endorsement. It has this in its favor that the mature sheep, in full

vigor of middle life, though in an infected area, usually resist the

infection, while the young, old, debilitated and verminous suffer.

Opposed to it are these considerations that are recognized by Lignieres

himself;—1st, The acquired immunity is not perfect, as shown by

occasional relapses in sheep that have survived a first attack; 2d, The

serum inoculation is not only useless, but dangerous in animals that

already harbor the germ; I may, add 3d, Any acquired parasitism or

debilitating disease may tend to break down the immunity and prostrate

the system under the infection. Lignieres advises that the serum

treatment should be restricted to the new born lambs in infected herds,

or herds in infected areas. The first three or four weeks after birth

are to be preferred for the operation, though failing this it may still

be ventured on, up to a few days before weaning. The longer it is

delayed the greater the danger of a preëxisting infection, and of

untoward results from the new access of infecting material, on the back

of an infection which varies so extremely in its pathogenic potency.

Even among the new born lambs, Lignieres would restrict the serum

therapy to the strong, robust and healthy, and, if they survive the

resulting fever, would repeat the _treatment_ after the hyperthermia has

ceased. No satisfactory treatment of the disease has been made. An open

air life, a generous diet, and a course of iron, and bitters will,

however, be of use in serving to improve health, digestion and vigor, to

solicit a better production of red globules, and to enable the patient

to survive the period of anæmia, prostration and debility. Antiseptics

like quinia, the sulphites and the iodides might be used as adjuncts.

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