DOURINE.

Synonyms. Definition: Contagious disease of breeding solipeds, with

special lesions in generative and nervous system, and skin, and caused

by a trypanosoma. Susceptible animals: horse, dog, rabbit, rat, mouse,

ass. History: in Europe and America. Causes: contagion; coition;

microbiology; trypanosoma equiperdum; its successive stages: 1.

granules and refrangent spherules; 2; chromatin bodies with two

prolongations; 3. fusiform body with nucleus and nucleolus and two

flagella; 4. pyriform bodies with flagella; 5. fusiform body with

nucleus, nucleolus and undulating membrane: in blood, sperm, milk,

vaginal mucus, sores; disappears from blood in intermissions and

rapidly after death. Lesions: phlegmons of generative organs, papules,

vesicles, mottling, swollen inguinal glands, penis, testicles,

caseation or atrophy, thickened lymphatics, nervous lesions, friable

bones, arthritis, liver, spleen, kidneys, lungs, lack of red globules,

anæmia, muscular atrophy; in mare, in dog. Symptoms: _Horse_:

incubation 11 days, variable; preputial, scrotal, sub-abdominal

swelling, catarrh of genital mucosa, vesicles, sores, swollen penis,

semierections; paraphymosis, slight fever, tender loins, frequent

micturition, paresis, swollen joints, tendons, emaciation marked

anæmia, apathy, dementia, nasal ulcers, submaxillary swellings.

_Mare_: vulvar swelling, distortion, leucorrhœa, eruption, spots of

depigmentation, erection of clitoris, urine in driblets often,

inguinal swellings, sterility or abortion, lameness, trembling, great

anæmia and emaciation. Diagnosis: from urticaria: from glanders,

generative lesions, no response to mallein, paresis: from chronic

paraplegia, by its coition cause, and in horses only; from vesicular

exanthema by gravity and nervous phenomena. Prognosis: Mortality 70

per cent. and upwards. Symptoms in ass slight: in dog severe and

fatal; in rabbits severe. Treatment: prevent copulation, castration,

local antiseptics early. Prevention: prevent copulation of infected

and suspected animals, castrate, import only on certificate and on

long quarantine.

_Synonyms._ _Venereal Disease of Solipeds_; _Equine Syphilis_; _Maladie

du Coit_; _Chancrous Epizoötic_; _Breeding Paralysis_; _Epizoötic

Paraplegia_.

_Definition._ A contagious affection of solipeds, transmitted by

copulation, and attended by specific lesions in the generative organs

and nervous system, such as local venereal swellings, chancrous ulcers

and cicatrices, dementia and paralysis.

_Susceptibility._ As occurring casually the disease is essentially an

equine one, yet the following species are susceptible to experimental

inoculation in the order named: dogs, rabbits, rats, mice, asses. While

the horse shows the greatest susceptibility, the ass is comparatively

very resistant to the poison.

_History._ The malady has probably long prevailed in the east, yet it

was first clearly distinguished in 1796 when described by Ammon as

prevailing in the royal stud at Trakehnen in Northern Prussia. We have

later descriptions of the disease in the same locality in 1801

(Hertwig), and 1807 (Ammon). It was found in Bromberg in 1817 to 1820

(Waltersdorf), also in Hanover (Haveman), in Austria and Bohemia in

1821–8 (Fischer), in Styria in 1821, in Switzerland in 1830, in France

in 1830–2 (Lautour), in Silesia and Pomerania in 1833–40 (Fischer), in

Italy in 1836, in Russia in 1843, (Fischer), in Silesia and Poland in

1830–40 (Freidberger and Fröhner), in Algiers in 1847–55, and in Syria

and Asia generally and perennially (Daumas and Signol).

It appeared at Bloomington, Ill., in 1882, the first affected animal

being a brown stallion that had been imported from France and which bore

on his neck a brand like the letter D. In this locality it extended to a

considerable number of breeding mares and stallions, and having been

recognized by Dr. W. L. Williams, was largely stamped out by a rigid

quarantine of diseased and exposed animals. Some exposed animals had,

however, left the district, and isolated centres of infection have been

since found in Nebraska and elsewhere in the United States.

It is not known to have invaded Belgium, Scandinavia, England, South

America nor Australasia.

All indications point to Asia or North Africa as the primal home of the

disease, as they still prove its perennial one.

_Causes._ The disease is transmitted by contagion and almost exclusively

in the act of coition. Hayne has seen the affection in geldings, and

Haxthausen in mares that had never been served. Schneider, Buffard,

Nocard, Blaise and others have transmitted it freely by inoculation of

blood and nervous matter, so that the possibility of infection through

other channels than the generative organs must be admitted. But such

irregular means of casual infection are so rare, and the probability of

transmission of the virus from a non-breeding animal is so remote that

in the practical measures of sanitary police, the breeding horses alone

need be taken into account.

The extra vascularity of the male and female generative organs at the

period of coition undoubtedly favors infection, as a latent or

apparently recovered case will relapse under its frequent repetition.

The abrasion of the epithelial surface also forms infection atria and

favors new multiple points of infection.

The disease has occurred congenitally (Rodolff, Jessen). It has been

claimed that the higher bred horses with lighter frames are the more

susceptible (Fischer), but this is probably a delusion, the disease

having been often introduced by the Barb and Arabian and propagated

among their grade descendants. The heavy Percheron shows a very ready

susceptibility and a virulent and fatal form of the affection.

_Microbiology._ That the affection was due to a microbe was clearly

shown by its absence from every part of the world into which infected

horses had not been brought. The secluded countries, Belgium, England,

Scandinavia, that breed their own horses, the distant Australia, New

Zealand and South America remained free in face of the constant presence

of the infection in different parts of Central and Southern Europe, in

Africa and Asia. The horses of America and South Africa showed a ready

susceptibility to the virus brought by infected horses, and rigorous

sanitary police control speedily cleared a district of the trouble.

Thanhoffer found in the blood, vaginal mucous, testicle, semen, spinal

fluid, myelon, and roots of the dorsal and lumbar nerves cocci,

especially streptococci and less constantly bacilli, to which he

attributed the malady. More recently Schneider and Buffard have

apparently demonstrated that an infusorian, the _trypanosoma of

dourine_, is the essential pathogenic agent.

The _Trypanosoma Equiperdum_ varies greatly in form at different stages

of its growth or in different media. In the exudate of the slight early

tumefaction, without as yet other symptoms, it is found as minute

granules in groups, as larger spherical very refrangent bodies like very

large cocci, each having a strongly staining nucleus, and as larger

bodies in which a delicate membranous covering encloses one, two or

three masses of chromatin and extends to form one or more points

(club-shaped or fusiform). Each chromatin mass has a nucleolus on its

outer surface or slightly apart from it. Twenty-four hours later there

may be added: First, short, thick chromatin bodies, with two slightly

undulating, pointed, membranous prolongations. Second, more delicate,

fusiform bodies, each with one chromatin nucleus, a detached nucleolus,

and the membrane prolonged into two actively moving flagella. Third,

larger pyriform bodies with chromatin nuclei and nucleoli and the

membrane prolonged into one or several flagella. Fourth, fusiform

bodies, thick or delicate, each having a chromatin nucleus and

nucleolus, and arranged singly or in groups of two, four, six or more,

united together at one end and diverging at the other to form a stellate

mass. These last, 20 to 30μ long by 1.5 to 2μ broad, may perhaps be the

adult form of the parasite from which the small granular or spore forms

found in the most recent lesions are derived. The fusiform outline, the

deep staining central mass, with its adjacent nucleolus, and the pointed

or flagellate membranous prolongations, more or less motile or

undulating, are characteristic features.

In its morphology and evolutionary forms the trypanosoma of dourine has

not been shown to differ from that of surra, nor the nagana or Tsétsé

disease, the granule form, the spherical, the club-shaped or pyriform,

the fusiform with more or less stellate grouping, are characteristic of

all (Lydia Rabinowitsch, Kemper, Schneider, Buffard). The distinction is

found in the pathogenesis of the two diseases.

With active cutaneous or mucous lesions, the parasite is usually found

abundantly in the blood, sperm, milk, vaginal secretions, and the

erosions of the vaginal mucosa or penis. During intermissions, however,

and in the absence of local lesions, examination of the blood may fail

to detect it, yet its inoculation on a dog will usually produce the

affection. It disappears from the blood and tissues with great rapidity

after death, so that, to prove successful, inoculations should be made

before death or immediately after. They are ineffective after 48 hours.

Schneider and Buffard, Nocard and others found the trypanosoma in the

blood and exudates of horses, asses and dogs, suffering from dourine,

and failed to find it, in the same localities, in animals of the same

species which were free from dourine. The infected blood, preserved for

24 hours in sealed glass tubes, and then inoculated on two dogs produced

characteristic dourine, with the extensive production of trypanosoma in

the blood, the destruction of blood globules, and the pathognomonic

local lesions. Inoculation of two other dogs, with the same material, at

the end of 48 hours produced a slight transient hyperthermia only,

without local lesions or propagation of the parasite in the blood. The

same blood inoculated after 15 days produced neither local lesion nor

fever.

_Lesions._ _Horse._ In the early stages are found a phlegmonous or

œdematous swelling of the _sheath_, _scrotum_, _penis_ and _inguinal

glands_ and a yellowish liquid effusion into the scrotal cavity. The

skin covering these parts may show a papular or vesicular eruption or if

this has passed, a mottling with white spots shows where the lesions

have been. Later still the _inguinal glands_ are shrunken and have

undergone fibroid degeneration and induration and the testicles, swollen

or shrunken, contain centres of caseation. The connective tissue of the

epididymus and cord is the seat of a gelatinoid exudation. The _walls of

the scrotum_ may be greatly thickened and the seat of abscess or of

caseous degenerated hyperplasia. In advanced cases the _testicles_ are

usually abnormally small even if the scrotal mass is enormously

distended. The _sheath_ and _penis_ may be the seat of more or less

numerous ulcers, and swellings, contractions and distortions of the

latter organ are not uncommon. The penis may, however, retain its normal

dimensions. The walls of the _lymphatics_ in the inguinal region may be

the seat of hyperplasia, the thickening causing them to stand out like

cords as in glanders. In the advanced stages the _muscles_, especially

those of the hind limbs, become pale and atrophied.

The _nerve centres_ undergo profound changes which have been studied by

Thanhoffer. The _pia mater_ in the affected parts of the spinal cord is

the seat of active congestion and thickening. The central canal of the

cord is dilated (syringomyelia) more at one point than another, contains

more than the normal amount of liquid, and the neuroglia around it is

thickened and fibrous (sclerosed). The _substance of the cord_, both

white and gray, shows congestion, blood staining, at points foci of

softening, and at others induration (hyperplasia of the neuroglia). The

_nerve cells_ are modified in various ways, some being granular, some

discolored by fine granular pigment, some having enlarged and multiplied

nuclei, and some show vacuoles. The _nerve filaments_ often show a

granular degeneration extending from the nerve cell into the axis

cylinder, and the latter is liable to be varicose or uneven in size. In

the affected portion of the cord leucocytes are numerous and hyperplasia

is often present. The neuroglia especially tends to encrease, and apart

from the foci of softening tends to give a special firmness to the

substance. At intervals, in the perivascular spaces, may often be found

minute (microscopic or macroscopic) blood clots. The subarachnoid and

subdural fluid is encreased and may be pinkish. At the roots of spinal

nerves, especially in the dorsal and lumbar regions, a gelatinoid

exudate may invest the nerve, distending the connective tissue beneath

the neurilemma and even occupying the interval between the nerve

filaments. Sometimes large corpuscular bodies are found between the

nerve fibres.

The _cerebral meninges_, especially the _pia mater_, are congested and

opaque. Foci of softening are by no means uncommon and the cerebral

ventricles contain an abnormal quantity of fluid.

The _bony tissue_ generally has lost its consistency and the medullary

matter may be unduly reddened. The large joints contain an excess of

synovia somewhat pinkish in color, and the ligaments of the hip joints

are often congested, thickened and softened. The articular cartilage may

even show patches of blood staining.

The _intestines_ are usually nearly empty, soft, pale and flaccid, and

Ruthe has in one case observed rounded ulcers on the mucosa. Fibroid

thickening on the peritoneal surface may indicate a previous exudate.

The _mesentery_ is thickened, with infiltration and has a yellowish

discoloration and the _mesenteric glands_ are usually enlarged, softened

and friable, though sometimes firm and contracted. The _lymph glands_

adjoining the generative organs are often swollen, pigmented and studded

with foci of caseation, varying in size from a pea upward.

The _liver_ is softened and congested or fatty. The _spleen_ is small.

The _kidneys_ are usually large, but flaccid, pale and bleached.

The _thoracic organs_ may show little change, though hypostatic

inflammation and foci of caseation or suppuration may be present.

The _blood_ is pale and watery and forms a loose, pale, diffluent clot,

while there is an extraordinary diminution of red globules and a

relatively great encrease of leucocytes.

In advanced stages the _muscles_ are pale, anæmic and shrunken

especially those of the hind limbs.

_Mare._ In the mare in addition to the lesions of the internal organs

and blood, the following may be noted in connection with the generative

system. Phlegmonous or œdematous swellings, sores or ulcers on the lips

of the vulva, and on the vulvar and vaginal mucosæ. The parts become

variously distorted, and the vulva, habitually open may expose the

swollen and ulcerated clitoris. A crop of papules or vesicles, running

into sores or ulcers may appear on the urethral orifice, the vulva and

adjacent skin, and even though overlooked, their seats are marked later

by loss of cutaneous pigment and the formation of small white spots. The

mammæ are sometimes inflamed, œdematous and tender, with suppurative or

necrotic foci and the adjacent lymph glands are enlarged by infiltration

or contracted by sclerosis.

_Dog._ These resemble those in horses. In the bitch genito-urinary

congestion, inflammation and catarrh, subcutaneous infiltration under

the belly and inside the thighs, swelling of the inguinal lymph glands,

emaciation, and pallor and atrophy of the voluntary muscles are marked

features.

_Symptoms._ _Horse._ Incubation may last from one to eight weeks

(Maresch), but is usually 11 days from the infecting service. It may be

abridged by a special susceptibility, and by repeated infections and

hence the more acute cases are especially seen in the male in daily

service. In some such subjects local genital infiltrations are speedily

followed by paralysis or vertigo which cuts off the patient in a few

days.

More commonly the malady is _chronic_ though varying in different

countries, epizoötics or even in particular cases.

The first _symptom_ is slight swelling of the anterior border and raphe

of the sheath, which gradually extends backward to the scrotum and

inguinal region and forward on the abdomen it may be as far as the

brisket. This may be hot and painful, but is usually œdematous, cool and

painless. The infiltration affects the end of the penis, the meatus may

be red and angry with a slight muco-purulent discharge, and red spots

vesicles and ulcers may stand out clearly on the pigmented surface.

Williams never saw such eruptions in the American cases and doubts their

existence except as the result of injuries. There are frequent

semierections and service is still possible. Later the engorgement

extends to the specially pendent testicles, inguinal glands and others

adjacent. Paraphymosis is occasionally seen or, more commonly, the penis

hangs out of the sheath soft and flaccid and erection seems impossible.

The local swelling may become excessive, pressing the testicles up

against the inguinal ring, or suppuration and extensive abscess may

follow. Appetite is retained and the temperature remains moderate (100°

to 102° F.).

The local swellings may almost completely subside, except a slight

tumefaction of the end of the penis, hence some (Fischer) have held that

the cutaneous lesions are the primary ones, yet the start of infection

at the generative organs and the fact that a stallion often infects a

number of mares before there is any suspicion of his own infirmity is

evidence enough of the genital seat of the earliest lesions.

The cutaneous lesions, which are essentially secondary, but highly

characteristic, appear from forty to sixty days after the infection

(Schneider and Buffard). They are from a quarter of a dollar and upward

in size (in some old horses much smaller), and rise abruptly from the

healthy skin, becoming the more marked that the hairs upon them stand

erect. These may arise suddenly and subside again in one day, or give

out a serous exudate which mats the hairs into a tuft. They may,

however, last four or five days. These are more patent after a full

drink of water, or after sprinkling or sponging with water. Even when

they have been overlooked these results may often be seen later on

colored skins, in the presence of many circular white spots entirely

devoid of pigment. The most common seat of these cutaneous lesions is

the hind parts (anus, tail, croup, quarters), but they may appear on the

sides, neck, shoulder or thighs.

Tenderness of the loins may now be shown, with frequent, painful

micturition, but the penis becomes more and more paretic, so that

coition becomes encreasingly difficult or impossible. Paresis also shows

in the hind limbs, the animal remains recumbent a great part of the

time, rises with difficulty, starts suddenly forward at the fetlock, and

drags the toe on the ground in walking. Swelling of the joints and

tendinous sheaths, with attendant lameness, is not uncommon. The

appetite remains good, yet emaciation and weakness make marked progress.

The advanced stages are characterised by marked anæmia, paraplegia and

dementia. The visible mucosæ are pale, emaciation advanced, the patient

stubs his toes and sways in walking, and finally drops unable to rise;

or he stands with hind legs straddled and semi-bent, and largely

oblivious of all around him. He may be too stupid to eat unless the food

is placed in his mouth, and yet the neigh of another horse or a mare may

draw forth a feeble retort, as if the deranged generic instincts

remained. Swelling, or even abscess of the lymph glands, axillary,

submaxillary or inguinal, is usually present, and muco-purulent

discharge with ulceration of the nose or eyes is not uncommon. The

joints crack when moved and fractures are common.

The duration of the disease is two or three months, the progress being

more rapid in winter.

_Mare._ Vulvar swelling eight or nine days after service, with ejection

of urine in jets, contraction of the vulva, redness, swelling and

erection of the clitoris, and a muco-purulent discharge are marked

symptoms. European observers note nodules, vesicles and ulcers on the

mucosa and adjacent skin, but these were not observed in the American

cases (Williams). Yet later they showed the characteristic white spots.

Switching of the tail, stamping of the hind feet and painful straining

to urinate are followed in certain cases by ejection of the urine

forcibly in jets or in small dribblets. The catarrhal discharge is at

first watery, but later becomes viscid, sticky and white, yellow or

grayish, or even red. It mats together the hair of the tail and thighs,

and putrefies, exhaling a repulsive odor. The swelling involves the

space between the thighs and often implicates the mammary glands and

even the floor of the abdomen. The inguinal glands are often involved,

and hyperplasias with degenerations and even abscesses may appear in

this region. As in the stallions the local lesions may have periods of

advance and subsidence, and in favorable cases, that are not again

served, there may seem to be a temporary recovery. The mare, however,

remains infecting, and if served the local disease is at once roused

into activity. The button-like skin eruptions appears on the quarter as

already noticed of the horse and in grave cases may caseate or suppurate

and burst, forming an indolent and intractable sore. The dark skin of

the vulva and perineum becomes marked by white spots or by irregular

patches caused by the confluence of several such spots, which for

ordinary breeds of horses are highly characteristic of this disease.

Many Arabian horses naturally acquire such white spots on the dark skin,

and in pure Arabs and grades this appearance need not be held as

evidence of dourine.

Infected mares rarely conceive, and any that do so are likely to abort

before the sixth month.

The systemic symptoms, nervous, paralytic, tremulous, dyspeptic,

atrophic, cerebral and cachectic follow a similar course as in the

stallion.

In grave and progressive cases the lesions of the generative organs

become very marked. The lips of the vulva become rigid and distorted so

that it remains constantly open and the erect clitoris continually

exposed. The skin of the vulva is tense, dry and shining. Lameness is

shown in one or both hind limbs, knuckling over at the fetlock,

shortening of the step, planting the toe first and the heel later with a

jerk, lack of balance, paresis and even inability to rise.

A disposition to trembling is common to both sexes, as is also an

intolerable itching of the skin which may make the animals tear the

lower parts of the limbs with the teeth. In either there may be a local

paralysis of a lip, an ear, an eyelid, or some other part of the body.

In both sexes the disease tends to extreme anæmia, debility and

emaciation, and to infective internal inflammations (lungs, bronchia) or

septic or purulent infections.

_Diagnosis._ From _urticaria_ this disease is to be distinguished by the

absence of lesions of the generative organs in the former, by its

association with change of food and digestive disorder and by the

absence of all evidence of contagion.

From _glanders_ it is to be distinguished in the same way by its casual

transmission by sexual connection only, by its restriction to breeding

animals, and by the irresponsiveness of the victim to the mallein test.

The progressive paresis and hebetude are valuable diagnostic phenomena.

From _chronic paraplegia_ it is distinguished by the same prevalence in

breeding solipeds only, and by its mode of transmission.

The greatest difficulty is experienced with the slight and comparatively

occult cases, and in some of these the history of the infection of a

number of breeding animals, which have been served by the same horse may

be the one guiding point for a number of the cases. For sanitary

purposes it is well to treat as suspicious animals all mares that have

been served by a stallion which is in the line of infection. This

suspicion would attach also to any stallion that had served a mare which

had been to a diseased or suspected stallion, and to all mares that have

been served by the suspected stallion after he had been to the suspected

mare.

From _simple vesicular exanthema_ dourine is to be distinguished by its

comparatively slow progress, and by the uniformity of the lesions of the

generative organs and nervous system, which are lacking in the vesicular

affection.

_Prognosis._ A certain number of animals recover from the milder attacks

which have not become complicated by the grave trophic and nervous

lesions, but as in glanders, recovery from severe attacks and in the

advanced stages is practically unknown. The mortality is set at 70 per

cent. and upward.

_Symptoms in the Ass and Mule._ The disease usually remains discrete,

the lesions in the generative organs or other seat of infection being

the marked symptoms, and recovery the rule. Œdema of the end of the

penis, obliteration of the folds around the orifice of the urethra and

eversion of the urethral mucosa are the most constant features, distinct

even in semi-erection. Œdema of the sheath and skin eruption may follow.

Exceptionally a mule proves as susceptible as the horse, and shows the

disease with the same fatal severity.

_Symptoms in Dog._ A bitch, 15 days after vaginal injection of the

infected equine blood, showed severe vaginitis and hyperthermia (100°).

On the 23d day she aborted, followed by muco-purulent discharge, vulvar

œdema, pallor of the mucosæ, anæmia, rapid emaciation, paresis and

occasional convulsions. Blood drawn from the vulva contained the

trypanosoma. She died on the 66th day. The temperature rose to 103°.

Two male dogs that lined the above infected bitch showed after 12 days,

engorgement of the sheath and scrotum, muco-purulent discharge, and

abundance of the trypanosoma in the blood of the affected parts.

Cutaneous lesions on the loins, thighs, sides or forehead, showed

erection of the hair, with infiltration, or shrivelling and

bloodlessness.

Other dogs showed arthritis, corneal opacities and ulcers, hypopion,

cataract, nasal discharges, facial periostitis, dyspnœa and syncope.

_Symptoms in Rabbits._ Rouget found in inoculated rabbits, extensive

gangrene of the skin, involving even the cranial bones, ulcerative

keratitis, hypopion, panophthalmia, following on the earlier genital

troubles of vaginitis, swelling and discharge.

_Treatment._ Some cases recover spontaneously a few may be aborted in

the earliest stage of the disease, but cases that have advanced to any

extent and assumed a grave character are practically hopeless.

An important element in treatment is to do away as far as possible with

the cause of generative excitement since the disease is aggravated and

more rapidly advanced by frequent copulation. Rodloff from a very wide

experience speaks highly of castration of the stallion. Castration of

the mare has not been specially advocated and the absence of marked

lesions in the ovaries, may deter the veterinarian, yet whatever

promises to lessen in any degree the genesic excitement is not to be

despised, and the measure has besides a sanitary value for other

animals.

Early local treatment is the most promising, and especially if it can be

applied to exposed animals during apparent incubation. Injection of the

urethra, sheath, vulva, vagina and uterus with antiseptic lotions, and

apply them to the external sores. Mercuric chloride 1:2000, carbolic

acid 2:100, silver nitrate 1:250, calcium chloride 1:100, or chlorine

water may be taken as examples. When local swellings have supervened it

would be entirely appropriate to incise them freely or even to excise

them and cauterize thoroughly with stronger agents.

Internal treatment by mercuric chloride 1½ to 3 grains, potassium iodide

2 to 5 drs., arsenic 7 to 14 grains, has been widely used but to little

purpose. The same may be said of Rodloff’s treatment by tonics and

carminatives (sal ammoniac, camphor, iron, angelica, gentian, ginger and

valerian.)

_Prevention._ The one thing to be secured is the prevention of

copulation with any animal that has been affected, or exposed to this

disease in the past three years.

1st. Any stallion or mare once affected must be excluded from breeding

for at least three years after apparent recovery.

2d. Every such animal that has been exposed by copulation with a

suspected animal must be excluded from breeding for the same period even

if no active symptoms have been shown.

3d. Every affected or exposed animal, should be quarantined in the hands

of his or her owner and placed on an official register and the sale,

gift or loan of such an animal, or its movement to a new place where it

might propagate the disease should be made a misdemeanor.

4th. In any county or district in which the disease exists all stallions

and mares should be registered and none should be allowed to be used for

breeding purposes without an official certificate showing that each of

the animals mated is free from all suspicion of having been exposed to

this infection.

5th. If any stallion or mare is imported from a country in which dourine

exists it should be accompanied by an official certificate showing that

it has not in the past three years been exposed to the possibility of

infection with dourine.

6th. In the absence of such certificate the imported animal (capable of

breeding) should be kept in strict quarantine for the period of three

years.

7th. A much more radical measure, which may be made to supersede all of

the above, would be to castrate every soliped (stallion or mare) which

has suffered from the disease in the past three years, and every such

animal that has by coition been exposed during that length of time to

even a remote opportunity for contagion. This would embrace all

apparently sound mares that had been served by a stallion which had

shown slight symptoms of the disease, or by a stallion which had not

himself shown such symptoms, but which had served a mare that had shown

such symptoms; or one that had served a mare that had not shown such

symptoms, but that had been previously served by a stallion which had

shown such symptoms, or that previously covered a mare that had shown

such symptoms. In such cases the State might well afford to indemnify

the owner for any reduction in value of the castrated stallion from that

borne by the animal as a prospective breeder, the breeding for which

indemnity is sought being understood to count only from a date of three

years after the sanitary castration. A mare once attacked should be

remorselessly castrated or killed. A perfect recovery in a horse can be

better attested; that of a mare is always uncertain, and most secondary

outbreaks after the apparent extinction of the poison have come from

breeding mares that have apparently recovered, or that after exposure

have shown no appreciable symptoms.

When a State is so lost to all sanitary considerations as to abandon an

affection of this kind to take its course, the owners of stallions and

mares cannot be too careful to avoid the exposure of their valuable

breeders to the risk of infection. Each mare brought for service should

be admitted only when accompanied by a certificate showing all previous

services in the last three years, with the identification of the

stallion, and this irrespective of whether the service has been fruitful

or not. In such certificate the owner of the mare should bind himself to

make good all damage or loss that may accrue from his failure to set

forth in the certificate every such service and every symptom of illness

affecting the generative organs from which the mare has suffered in the

three years antecedent.

The owner of the stallion should give a similar guarantee that the horse

has in the past three years served no mare that was in any way open to

suspicion, and that the animal has not suffered from any affection of

the generative organs which had any of the characteristics of dourine.

No mare should be served which shows swelling, nodules, distortion, or

gaping vulva, a muco-purulent discharge, or too frequent or too

prolonged _heats_.

No stallion in such locality should be allowed to serve which shows

pasty swelling of the sheath, swelling, shrinking or distortion of the

penis, red, angry, tender meatus urinarius, or a muco-purulent

discharge.

Unless in case of Arabian horses the appearance of white spots on the

dark ground of the sheath, penis, vulva, or perineum, should be ground

for debarring from service until an absolutely stainless record covering

a number of years has been shown.

Text book of veterinary medicine, Volume 4 (of 5) · 第 115 / 144 题