Pyamia and Septicismia. 23, 



an hour and which may be repeated at irregular intervals, serving-,, 

 in some measure, to distinguish pyaemia from septicaemia. The 

 temperature rises with the rigor, ( 1 02 " to 1 05 ° ) but shows marked 

 remissions especially in the morning, when it may not exceed the 

 normal, and rising again with the recurrence of chill or staring 

 coat. The pulse is usually encreased in frequency even during 

 the remissions and is soft and compressible. Remissions may be 

 attended by profuse perspirations or even, in the advanced stages, 

 by foetid diarrhoea. The breath has a peculiar sweetish or mawk- 

 ish odor. Blood passed with the faeces may indicate intestinal 

 abscess, and albumen or pus in the acid urine, bespeaks suppu- 

 rating foci in the kidney. The cloudy mucus from the pelvis 

 of the kidney in the horse must not be mistaken for this. Cough 

 or dyspnoea will indicate, abscess of the lungs, and intercostal 

 tenderness, pleurisy. 



The buccal mucosa may be dry and cracked, and the tongue 

 coated. From the first the animal is dull, and prostrate, and the 

 visible mucosae become dusky brown or even yellowish from the 

 liberated haematin. Blood abstracted will show the microorgan- 

 ism, an excess of leucocytes and diminution of the red globules. 

 The poison determines haemolysis. A cardiac murmur, usually 

 with the first sound, betrays endocarditis. This is especially 

 characteristic of chronic pyaemia. Again multiple suppurating 

 arthritis may appear. Stupor, coma or paralysis will indicate 

 cerebral or meningeal lesions. 



In pyaemia following trauma there is drying up of the pus 

 which becornes serous or bloody, a puffy condition of the gran- 

 ulations, and the evidence of a thrombus in one or more veins 

 leading out from the wound. 



In other cases the occurrence of pyaemic symptoms, consequent 

 on parturition, metritis, omphalitis, bone-abscess or osteomyelitis, 

 on suppurating internal inflammations, ulcerative endocarditis, or 

 infective fevers like strangles, influenza, contagious pneumonia, 

 cattle plague, distemper, rouget, hog cholera, etc., serves to 

 identify the disease. 



The prognosis of pyaemia is always grave, and death may be 

 expected in six to fourteen days in acute cases. Chronic forms 

 last much longer. 



Prevention is the great object in regard to surgical cases, and 

 this means the prevention of suppuration in the wound. As far 



