DEPARTMENT OF AGRICULTURE. SPECIAL REPORT—No. 31. CONTAGIOUS PLEURO-PNEUMONIA. THIRD REPORT UV i CHARLES P. LYMAN, E. R. C. Y. S. WASHI^T/TON: GOVERNMENT PRINTING OFFICE. 1881. DEPARTMENT OF AGRICULTURE. SPECIAL REPORT—No. 31. CONTAGIOUS PLEURO-PNEUMONIA THIRD REPORT OF CHARLES P. LYMAN, F. R. C. Y. S. WASHIXGTOX: GOVERNMENT PRINTING OFFICE. 1881. CONTAGIOUS PLEURO-PNEUMONIA. Sir : Although my recent examination of American cattle, as landed and slaughtered in England, had for its chief object the detection of the contagious pleuro pneumonia so frequently reported by the English governmental authorities as existing among them, and the subsequent location, as nearly as possible, in the United States, of the herds from which these animals had been taken, I made my last report to you upon this subject before having had sufficient opportunity to examine as thor- oughly as seemed to me desirable, the details connected with this direct investigation, because I considered that, incidentally, matters of the greatest importance connected with our cattle export trade had come to my knowledge, and that under the circumstances it was very impor- tant that these facts should come to the knowledge of Congress early in the session, so that, if they deemed them of as much importance as they seemed to me, they might have time to take such action as they deemed necessary. Therefore the second report was made, and I was obliged to content myself, at that time, with the statement that if pleuro pneumonia ex- isted in the West, or if there were diseased cattle in or about the points through which the animals passed on their journey eastward, the infor- mation already possessed would, after a little further time, insure its location. That time I have now had, and in this report I intend to dis- miss simply the facts bearing upon these two points of the inquiry. First, by tracing back the condemned animals, so far as 1 have been able, from England to the States wherein they were raised, and to show what likelihood there is that contagious pleuro pneumonia exists in any of these States. Second, by submitting to you the report of Dr. W. F* Whitney, the microscopist, whose services were engaged for the special purpose of examining the diseased portions of lung brought home by me from Liverpool; and, third, by discussing, in addition to this, which may be called the direct testimony in the case, the circumstances con- nected with the marketing, transporting by rail, aud shipping of cattle through our uninfected districts and ports to England, i. e., that part of the matter which may be called the indirect testimony, or in reality a putting together of facts connected with this shipping business, and drawing from them what seems to me to be reasonable deductions. The lungs condemned in my presence were six in number, and were from animals coming from Boston to Liverpool in the following named steamers, and in the numbers given : Iberian, one; Victoria, two ; Bra- 4 CONTAGIOUS PLEURO-PNEUMONIA. zilian, two; and from New York to Liverpool in tlie steamer Aleppo, one. The history of these animals, as 1 have been able to learn, is as fol- lows : Mr. Smith, butcher, bought of Mr. George Roddick, cattle sales- man at Liverpool, 194 bullocks from the cargo of the steamer Brazilian, landed at Birkenhead July 7, 1880. These animals were consigned to the salesman by Messrs. J. & C. Coughlin, of London, Ontario, Canada, who bought them in Boston, to which place they had been shipped di- rect from the Chicago maiket via. the Grand Trunk Railway of Canada to Buffalo, thence via. the New York Central to Albany, thence via. the Boston and Albany to Boston. The lot consisted of steers from the States of Missouri, Iowa, and Illinois. Mr. Alfred Dawson, butcher, bought of Mr. George Roddick, cattle salesman at Liverpool, several bullocks from the cargo of the steamer Victoria, landed at Birkenhead July 15. These animals were consigned to the salesman by Mr. Timothy Coughlin, London, Canada, who bought them in Boston, to which place they had been shipped direct from the Chicago market via. the Grand Trunk Railway of Canada to Buffalo, thence via. the New York Central to Albany, thence via. the Boston and Albany to Boston. This lot, as in the last case, consisted of steers from Missouri, Iowa, and Illinois. Since leaving Liverpool I am advised that up to the 21st of Novem- ber seven more animals were condemned, as follows: On September 5, from the cargo of the steamer Palestine, three animals. These were from a lot consigned to Messrs. Utley and Sons, of Liverpool, by Messrs. T. & F. Utley, of Boston; 44 of them were Missouri, and 100 Iowa ani- mals. They were bought in the Chicago market and came to Boston via. Buffalo and Albany over the Grand Trunk, New York Central, and Fitchburg Railroads. On November 9, from the cargo of the steamer Victoria, one auiinaL This was from a lot consigned to Mr. Ramsden, cattle salesman, Liver- pool, by Messrs. Wales & McLeavitt, of Boston, all of them being Illi- nois steers, bought in Chicago market and shipped to Boston over the Michigan Central, Grand Trunk, Vermont Central, and Fitchburg Rail- roads. On November 18, from the cargo of the steamer Bohemian, one animal. This was from a lot consigned to Mr. Hewlett, cattle salesman, Liver- pool, by Mr. William Hawksworth, Brighton, Mass. They were Illinois steers, one-half purchased in Albany, coming to Boston via. Boston and Albany Railroad. They had been brought to Albany from Chicago over the Lake Shore and Michigan Southern route. The other half were bought in Brighton market, Boston, and had been brought from Chicago- via. Grand Trunk, New York Central, and Fitchburg Railroads. On November 18, from the cargo of the steamer Brazilian, one animal. This was from a lot consigned to Mr. William Carroll, Liverpool, by Messrs. Hathaway & Jackson, of Boston, and were all Ohio cattle, bought CONTAGIOUS PLEURO-PNEUMONIA. 5 especially for this shipment in that State, and were shipped via. Buffalo, and from there over the New York Central to Albany, thence over the Fitchburg Railroad to Boston. On November 21, from the cargo of the steamer Iowa, one animal. This was from a lot consigned to Messrs. Utley & Sons, Liverpool, by Messrs. T. & F. Utley, of Boston. Fifteen or twenty of them were Oh io cattle, and came direct from London, Ohio, by way of Buffalo, Albany, and Fitchburg, to Boston. The remainder were Missouri and Illinois steers, and came from Chicago by Grand Trunk Road. With one exception this traces, I believe, all the condemned animals that have arrived at Liverpool from Boston from July 7 to November 21,1880. (The one not traced was from the cargo of the steamer Iberian, landed July 14; the reason for this will be described further on in this report.) From it will be seen that the native States of the condemned animals are Missouri, Iowa, Illinois, and Ohio; that the only markets through which they have passed are Chicago, Buffalo, Albany, and Boston ; that the lines of rail that have been used are the Lake Shore and Michigan Southern, Michigan Central, Grand Trunk line of Canada, New York Central, Yermont Central, Boston and Albany, and the Fitchburg, or, as it is sometimes called, the Hoosac Tunnel route. Cattle from the United States, upon being landed in Liverpool or at Birkenhead, are driven into stables erected for the purpose upon the wharves upon which they are landed, and are tied up in rows facing each other between which there is a passage way. After they have remained here, resting and feeding for at least twelve hours, they are examined by the veterinary inspector of the port, and, after they have passed this examination the salesman to whom they are consigned is at liberty to sell them, and the butcher who buys them, to drive them into the sham- bles, also situated upon the same wharf, where they are killed under the restriction that all lungs must be laid aside until they have been ex- amined by the inspector, when those not condemned may be disposed of in any way that the owner sees lit. This examination is made by clasping, one at a time, the lungs between both hands, and in this posi- tion passing them over their entire surface, when, if anything peculiar is felt, it is cut down upon and examined. In this way the slightest varia- tion from the normal becomes at once apparent; in fact, it is surprising how quickly the smallest change in them may be located. In this con- nection I also wish to have the fact borne in mind that in no one of these cases condemned in my presence did the inspector discover the disease before the animal was killed, although every animal was closely inspected in the way described, and in no one case was there any appearance about any one of these condemned animals that caused the slightest question to be raised as to his healthfulness, notwithstanding he had but very recently passed the scrutiny both of the port inspector and the butcher who had bought him; nor was there oue of them that M as not fully up to the average of his fellows in flesh. 6 CONTAGIOUS PLEURO-PMEUMONIA. The microscopic appearances of these six lungs in their fresh state were as follows: Brazilian No. 1.—This lung contained, in about its center, a large, hardened object that could be both seen and felt, and would measure, perhaps, about six inches through its largest diameter. This, upon being cut into, appeared to be an abscess containing nothing but a pure, rather thick, creamy pus, and, although any portion of dead tissue that might be contained within this cavity was thoroughly searched for, nothing of the sort could be found. The cavity was surrounded by what seemed to be a rather thick cartilaginous wall, this again by a considerable amount of “marbled” tissue in which the parenchyma; was of an even pinkish color, with the interlobular thickening well marked, white, hard, and firm. This, in its turn, passed almost imperceptibly, the parenchyma becoming gradually more and more areable, and the interlobular thick- ening growing narrower and narrower iuto the healthy lung tissue sur- rounding the whole. Brazilian No. 2.—This lung, with its fellow, upon its surface pre- sented to the eye no indication of disease, but upon being handled in the way described above, several small nodules within its substance at once became apparent; these, upon being cut down upon, in the one lung disclosed the unmistakable lesions of tuberculosis, and in the other, where these indurations felt were much fewer and smaller, the nodules showed the peculiar lesions upon which it was condemned. There were several small nodules situated in the periphery of the extreme posterior portion of the huge lobe of the right lung, the larger of which was about one-half inch in diameter: in its center there appeared to be a cheesy deposit; this was surrounded by a very thin layer of a thin grayish-colored pus; outside this a very thin membrane; outside this again, a very limited amount of marbled tissue which, near the center, was well marked, but more indistinct toward its outer margin. Of these nodules there were some four or five perfectly isolated from one another, but all being, to the unaided eye, of the same description. Victoria lungs.—There were two pairs of these, condemned from the same lot at the same examination. One lung showed one and the other three indurated spots upon which the lungs were condemned. The largest of these “spots” was about the size of an English walnut, and was situated exactly at the root of the lung ; the remaining three were situated in various isolated positions in the substance of the lung. Upon being cut down upon they all exhibited the same general appear- ance as those of the Brazilian No. 2 lung already described, except that in the case of the largest specimen there was a fair amount of sub-plural thickening, although there had been no adhesion between these surfaces. Of this portion of lung Dr. Whitney says : “ The size and appearance of the diseased portion after a clean cut had been made through it is represented on Plate IV. The disease involves about one-half dozen lobules, representing about 50 to 75 cubic centimeters in bulk (Plate IV Plate VII (’()NTA(HOUS PlEURC) -PnEI TM( )NIA ()F CATTLE Portion (Jvntnrxil size) of confirmncd lung firm, 1mrneon Hull oil slaughtered in Liverpool,England A. HomA Co.Lithocaiistir.Baltimore. CONTAGIOUS PLEURO-PNEUMONIA. 7 a). These are quite homogeneous iu appearance, and within them are seen one or two small irregularly rounded cavities containing a cheesy material. The interlobular tissue between them and the more healthy portion of the lung (Plate IV int. tis.) is very thick and dense.” In its fresh state this cheesy deposit was surrounded by a thin layer of what appeared to be a thin, grayish pus; this again by a thin membraneous wall, this by the “ marbled” tissue, limited in extent, and surrounded on three sides by healthy tissue. Aleppo lung.—The lung from which this specimen was taken was from a bullock, killed in Liverpool, July 23, and which the inspector said he considered a tine specimen of contagious pleuro pneumonia, and, as will be seen by reference to Plate VII, which is copied from a painting made by a leading firm of photographers in Liverpool from the lung itself, on the same day upon which it was taken from the animal, and is a most perfect representation of its appearance, has very much the look of that disease ; indeed so close is its resemblance that no one would be war- ranted in saying that it was not it until a most thorough examination had been made of the specimen. Plate Vila represents the point at which adhesion had taken place between the two pleural surfaces, and at which, upon being broken down by the fingers, there was left a small rounded eminence of loosely formed connective tissue b, the diseased nodule showing the discolored lobules and the greatly thickened interlobular tissue; c, c, healthy lung tissue. After getting this portion of lung to Boston, another cut was made into the nodule parallel to the first, and at a point directly through the center at a. The surface thus exposed had a very different appearance. At about the center of the nodule was a small, irregularly shaped cavity surrounded by a mass of material having a grayish cheesy look; in fact giving precisely the appearance noticed in all of the specimens ex- cept the Brazilian Xo. 1. Iberian.—This specimen was not retained by me, nor were any inqui- ries made about it that would enable me afterwards to trace the animal in the United States, because at the time it was discovered by Mr. Moore, the inspector, and shown to me, I did not think that there was the slightest indication of pleuro-pneumonia about it, and so told Mr. Moore, who, I thought, agreed with me at the time, and so the lung was not retained. Two days afterwards, however, I found, much to my sur- prise, that it had been condefnned and reported to the London authori- ties as having been a case of pleuro-pneumonia. My recollection of its appearance is that it contained seven or eight nodules isolated from one another, consisting of a small cheesy deposit no larger than a pea, sur- rounded by a thin membrane, and showed no marbled tissue whatever. In addition to this description I may say that every specimen de- scribed in this report was seen and examined by Inspector Professor Duguid, of the London office, and pronounced by him to be undoubtedly 8 CONTAGIOUS PLEURO-PNEUMONIA. pleuro-pneumonia. Also that each and every one of them were shown in August last to Professor Williams, who declared that, in his opinion, none of them were pleuro pneumonia unless it was the Aleppo specimen, upon which he would give no opinion without a chance tor a more minute examination of it. MICROSCOPIC EXAMINATION. All of tlie specimens of lungs which I have endeavored to describe were given by me to Dr. W. F. Whitney, of Boston, Mass., curator of the Warren Anatomical Museum, and assistant in pathological anatomy in the medical department of Harvard University, who made a most thorough microscopical examination of them, and whose report upon the subject I have the honor to herewith submit:' Boston, Mass., December 30, 1880. Chas. P. Lyman, F. B. C. V. S., Veterinary Surgeon Department of Agriculture : Dear Sir: At your request I have examined the portions of lungs coming from American cattle killed in Liverpool, said to be affected with contagious pleuro-pneumonia. From a careful study of those specimens in comparison with others obtained from an unquestionable case of that disease, and from the de- scription of its characteristics as given by Williams, Yeo. ltoy, and others, it appears that the changes seen in those specimens are caused by chronic inflammatory processes, especially of the interstitial tissue, in some cases combined with miliary tuberculosis, which, reasoning from analo- gous processes found in the human lung, are not contagious. In proof of the above statement I send you herewith the preparations upon which it is based, with drawings, and in explanation of them wrill call your attention, first, to the relations of the healthy lung, then to the changes seen in a lung affected w ith contagious pleuro-pneumonia, and, finally, to the manner in w hich the changes seen in the specimens sent for examination differ from those of that disease. The lungs of cattle differ from those of man, in that each lobe is dis- tinctly subdivided into numerous lobules (each occupying the space of from 10 to 30 cubic centimeters) joined to each other by fine bands of connective tissue, which also forms the walls of extensive lymph spaces, connecting on the one hand with those lying in the pleura, and on the other with the lymph canals, which nearly surround the blood-vessels accompanying the bronchus into the lung tissue. These relations are- shown in the preparation marked u normal lung of bullock, lymph spaces injected w ith blue,” and from w hich Plate I has been drawn. Fig. 1 rep- resents a section through the w hole of one and part of an adjoining lobule with the uniting bands of connective tissue inclosing lymph spaces. The extreme thinness of this band is especially to be noticed. The walls of the alveoli, which form the lung tissue proper (Fig. 1, lung tis.), are fine, and have a slightly wavy crinkled outline, and in them are a few’ scat- tered lymph and epithelioid cells. One or more small bronchi are usu- ally to be found in each lobule. A more highly magnified view of one of these is represented in Fig. 2. In this can be distinguished three coats, a mucous or inner coat, a muscular or middle coat, and an external coat. The mucous coat (Fig. 2, muc. ct.) is formed by a layer of colum- nar epithelium, its inner surface resting upon a narrow zone of con- Plate I Contagious Pieuro-Pneumonia VHoen& Co.Iithocaustic Baltimore PlateD. Fig.l. Fi6.2. (Contagious Pleuro -Pneumonia A.Horn & Co. Iolhocaustic. Baltimore. CONTAGIOUS PLEURO-PNEUMONIA. 9 nective tissue (submucous coat) which is thrown into folds when the bronchus is contracted. The muscular coat (Fig. 2, mus. ct.) is com- posed of unstripped fibers arranged concentrically. Outside of this is the external coat, composed, for the greater part, of a collection of round cells, probably of a lymphoid character, separating it from the accom- panying artery and vein (Fig. 2, art. and v.), which are almost surrounded (in some places entirely so) by the lymph canals (Fig. 2, lym. sp. c.). In the diseased lungs the changes occurring in the connective tissue, including the lymph spaces, in the alveoli with their walls, and in the bronchi, will be considered and compared with each other. CONTACtIOUS pleuro-pneumonia. Contagious pleuro-pneumonia presents three stages (designated as A, B, and C), dependent upon the degree to which these tissues are affected. In the earliest or stage A (see preparation marked contagious pleuro- pneumonia, stage A, from which Plate II has been drawn) the most marked changes are in the lymph spaces. Those in the pleura are in a great measure obliterated by the growing together of its two layers, and such as remain (Plate II, lym. sp. A) are tilled with young round cells, leaving only a narrow passage close to the wall. The interlobular spaces (Plate II, lym. sp. B) are tilled with a semi-gelatinous fluid, which in hardened specimens becomes coarsely librilated and in which are a few scattered round (lymphoid) cells. The bands of connective tissue form- ing the walls of the lymph spaces are but slightly thickened. In the lymph canals about the vessels are a few clumps of lymph cells, The opening of the canal is in general free (Plate II, Figs. 1 and 2 lym. sp. c.). The walls of the alveoli have no longer a crinkly outline but a slightly stiff appearance, giving the alveoli a much rounder look. This is partly due to an engorgement of the vessels and partly to an increase of lymph and epithelioid cells in and upon the walls (Plate II, Fig. 1, lung. tis.). In the small bronchi the changes are confined to the mucous coat (Plate II, muc. ct.), which is thickened from a proliferation of the epi- thelium, the cells next the free surface having a tendency to degenera- tion as shown by a slight detritus. In the seeond stage (see preparation contagious pleuro-pneumonia, stage B) the exudation in the interlobular lymph spaces is firmer and there are a greater number of cells. The walls of the spaces are but little changed from the preceding stage. The canals about the vessels are more extensively filled with cells, and here and there a vessel is plugged. Most of the alveoli are filled with an exudation, in places resembling that in the interlobular lymph spaces in stage A, and similar to that found in croupous pneumonia of the human lung, in places consisting entirely of lymph and epithelioid cells. The contents of certain of the alveoli takecoloring matter badly, showing that a degeneration has taken place in the cells. The mucous membrane of the bronchus is much thickened, and in the opening of the tube is to be seen detritus of exfoliated and degenerated epithelium. In the third stage (see preparation marked contagious pleuro-pneu- monia, stage C, and from which Plate II has been drawn) the inter- lobular exudation is a little firmer and more tibrillated, the original walls of the lymph spaces are still to be distinguished as moderately thick- 10 CONTAGIOUS PLEURO-PNEUMONIA. ened bands (see Plate III, Fig. 1, lym. sp. B). The canals about the vessels (Fig. 1, lym. sp. C) are completely filled with lymphoid cell, the vessels are usually plugged, and a more or less extensive hemorrhage may take place into the surrounding tissue (see Fig. 1, art). The alveoli are filled with lymph and epithelioid cells, in many cases degenerated and retracted from the walls into little granular clumps. The w alls themselves are much thickened in some places from an hyper- trophy of the fibers of unstripped muscular tissue, w hich is normally present in small amount, especially at the place wdiere the bronchus passes into the alveoli (see Fig. 2, mus. hyp.) The bronchi in this stage are only distinguished with difficulty, and the explanation lies in the fact that the mucous membrane has become entirely degenerated and cast off from the walls (see Fig. 1, br. nine, ct.), the cells reduced to a detritus which, together with lymph and blood cells, completely occlude the opening, leaving no characteristics by which to distinguish it from any other plugged vessel. Upon grouping together the appearances as presented in the different stages, it is manifest that the lymph spaces are at first filled with a coagulable material, and the increased density of this in the later stages of the disease are due to an increase in the number of cell elements and not to a material increase in the thickness of the walls of the spaces. With the increasing firmness of this exudation the alveoli are filled with cells and exuded material, as are also the lymph canals about the ves- sels; and when this has reached a marked degree, the mucous coat of the bronchus, which in the earlier stages of the disease has taken part by a proliferation of its epithelium, is cast off and the tube is filled with its detritus and an exudation similar to that in the neighboring lymph canals. The muscular coat of the bronchus resists longer and can be clearly distinguished after the mucous coat is destroyed. With this filling of the lymph canals the vessels are occluded and hemorrhage may take place into the surrounding tissue. DISEASED LUNGS FROM LIVERPOOL. The one first examined was marked u Steamer Victoria, from Boston, Jnly 19, 1880, Liverpool,” and will be referred to as the Victoria lung. The size and appearance of the diseased portion after a clean cut had been made through it, is represented in Plate IV. The disease involves about one-lialf a dozen lobules, representing about 50-75 C. C. in bulk (Plate IV, A). These are quite homogeneous in appearance, and within them are seen one or two small, irregularly rounded cavities, containing a cheesy material. The interlobular tissue between them and the more healthy portion of the lung (Plate IV, B) is very thick and dense (Plate IV, int. tis.). The whole has a resemblance to contagious pleuro pneumonia in that the lobules and interlobular tissue are involved, but differs in the small amount of tissue implicated when considered in relation to the degree to ichich the interlobular tissue is affected. What the cause of these changes is, will be understood from the preparation marked S. S. Victoria, &c., and from which Plate V has been made. Looking first at the interlobular spaces it will be seen that there is no longer any trace of the lymph spaces, but that the lobes are joined by a firm band of connective tissue, rich in young cells. (Plate V int. tis.) The earlier stages of this are seen in that part of the preparation which show’s no changes to the unaided eye (this is not show n in the drawing), and there it appears that this tissue results from a thickening of the Plate in Fifi.l. Fl