SYMPTOMS 85 
nostrils, these rapidly becoming caked about these organs, 
causing great mischief and inconvenience. Corneal 
ulcers may develop, the cough becomes incessant from 
extensive implication of the lungs and small bronchi, 
and the diarrhoea almost uncontrollable ; death then 
may ensue from pure weakness and exhaustion, or in 
convulsions. . 
Uncomplicated Distemper.-There are no symptoms of 
the uncomplicated disease which can account for death, 
but in the sequele there are many. Dogs never, or 
rather, rarely, die from simple distemper; what carries 
them off is, as a rule, pneumonia or enteritis, and what 
renders them useless is chorea or paralysis. 
The benign cases of distemper are frequently so mild 
in character that one is hardly aware the dog has been 
ailing. Even where an observant owner detects abnor- 
mality, he often ascribes the cause to worms; in fact, I 
feel sure that many puppies which have become subject 
to distemper fits—one of which has proved fatal—have 
been wrongly assumed to have died from intestinal 
parasitic affections, worms being so frequently found 
' post-mortem. 
Complicating Symptoms.—Working on the assumption 
that the true uncomplicated nature of distemper is merely 
that of a generalised catarrh of mucous membranes, the 
full list of complications may be cited—in the order of 
their usual precedence—as follows: 
Bronchitis, gastritis, conjunctivitis, enteritis, pneu- 
monia, epilepsy, keratitis, ulcerated cornea, pleurisy, 
peritonitis, exanthema, suppurations, otitis, ophthalmia, 
icterus, balanitis, nephritis, and cystitis. 
Sequele.—As sequelz, we see chorea, paralysis (partial 
or complete), amaurosis, cataract, leucoma, staphyloma, 
glaucoma, rickets, muscular atrophy, loss of hearing, 
scent, or voice, incontinence, and hydrocephalus. 
