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Gangrene
Dr. Jeny K John
Asst. Professor (Veterinary Clinical Pathology)
Sardar Vallabhbhai Patel University of Agriculture and
technology,
Meerut
Gangrene
• It is the invasion and putrefaction of necrotic tissue by saprophytic bacteria
• Seen most often in the lungs, intestine, mammary gland, heavy muscles of
the thigh and shoulder and the extremities
1. Lungs:
Most commonly from the faulty drenching of medicines, improper insertion
of the stomach tube, paralysis and infectious diseases of the throat
2. Intestine:
Horse infarction results from a verminous thrombus in the anterior mesenteric
artery, or acute local passive hyperemia associated with a malposition of the
viscera
Vascular disturbances……necrosis………..invaded by saprophytic
bacteria…..gangrene
3. Extremities
• Gangrene of the leg, ear, tail, wattle or comb is associated with
freezing
• Freezing….coagulative necrosis…..bacterial invasion….gangrene
• Certain drugs or plants (ergot and mould on fescue grass) cause
ischemia due to arterial spasm and restriction of blood flow
• Senile gangrene due to arteriosclerosis
• Diabetic gangrene-high sugar favour bacterial growth
• Gangrene is of two types: dry gangrene and moist gangrene
• Whether dry occurs or moist, depends on the amount of moisture as
well as temperature of the tissue
• When the coagulative necrosis is dominant, the process is dry
gangrene and when the liquifactive necrosis is more pronounced, it is
moist or wet gangrene
1. Dry Gangrene
• Usually observed in extremities
• When necrosis occurs, circulation is no longer maintained.
• Necrotic tissue gets dehydrated by evaporation and become dry.
• Temperature and moisture content in extremities is less, so spread of
bacteria is slow
Macroscopically
• Area is dry, shriveled and appears mummified as a result of dehydration
• It is reddish brown, green, grey or black in colour (due to Fe sulphide)
• Bacterial putrefaction of the dead tissue produces hydrogen sulphide. When
hydrogen sulphide comes in contact with Fe of Hb- Fe sulphide is produces
• Pseudomelanosis due to black discoloration
• Putrid odor due to hydrogen sulphide
• Dead tissue is demarcate sharply from the living by a line of severe inflammatory
reaction
Microscopically
• Structure less necrotic area stained pink is seen with numerous bacteria
• A few gas bubbles are evident by clear spaces
• An acute inflammatory reaction is present at the junction of the living and dead
tissue
Moist gangrene
• Occurs in the internal organs where there is an abundance of moisture
and temperature is higher
• With optimum conditions of moisture and warmth, the growth and
spread of saprophytic bacteria are very rapid
• When the intestinal wall get necrotic, rupture occurs and fecal content
are discharged into the peritoneal cavity, spreading microorganisms
throughout the viscera.
• Course of events is extremely rapid and death occurs from septicemia,
toxemia and shock
Macroscopically
• Gangrenous tissue is moist and red, green, grey or black in colour as a
result of iron sulphide formation
• Odor is extremely offensive due to hydrogen sulphide
• Putrefaction produces gas and numerous gas bubbles are present
within the tissues
• Intestine is distended with large quantities of gas
• No sharp line of demarcation between the living and dead tissue
Gas gangrene, Malignant oedema and black quarter
• Specific type of moist gangrene frequently observed in animals and due to the
invasion of tissue by various clostridial organisms (Cl. perfingens, C. chauvoei,
C. septicum, C novyi)
• These organisms are inhabitants of soil and the digestive tracts
• They enter into wounds of various types. The injury to tissues results in necrosis
and in this necrosis tissue organisms grows and multiply
• They produce toxins that kill the surrounding tissue
• They then invade the necrotic tissue, spread through out the body and bring
about the death
• Seen in BQ and malignant odema
4.gangrene

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4.gangrene

  • 1. Gangrene Dr. Jeny K John Asst. Professor (Veterinary Clinical Pathology) Sardar Vallabhbhai Patel University of Agriculture and technology, Meerut
  • 2. Gangrene • It is the invasion and putrefaction of necrotic tissue by saprophytic bacteria • Seen most often in the lungs, intestine, mammary gland, heavy muscles of the thigh and shoulder and the extremities 1. Lungs: Most commonly from the faulty drenching of medicines, improper insertion of the stomach tube, paralysis and infectious diseases of the throat 2. Intestine: Horse infarction results from a verminous thrombus in the anterior mesenteric artery, or acute local passive hyperemia associated with a malposition of the viscera Vascular disturbances……necrosis………..invaded by saprophytic bacteria…..gangrene
  • 3. 3. Extremities • Gangrene of the leg, ear, tail, wattle or comb is associated with freezing • Freezing….coagulative necrosis…..bacterial invasion….gangrene • Certain drugs or plants (ergot and mould on fescue grass) cause ischemia due to arterial spasm and restriction of blood flow • Senile gangrene due to arteriosclerosis • Diabetic gangrene-high sugar favour bacterial growth
  • 4. • Gangrene is of two types: dry gangrene and moist gangrene • Whether dry occurs or moist, depends on the amount of moisture as well as temperature of the tissue • When the coagulative necrosis is dominant, the process is dry gangrene and when the liquifactive necrosis is more pronounced, it is moist or wet gangrene
  • 5. 1. Dry Gangrene • Usually observed in extremities • When necrosis occurs, circulation is no longer maintained. • Necrotic tissue gets dehydrated by evaporation and become dry. • Temperature and moisture content in extremities is less, so spread of bacteria is slow
  • 6. Macroscopically • Area is dry, shriveled and appears mummified as a result of dehydration • It is reddish brown, green, grey or black in colour (due to Fe sulphide) • Bacterial putrefaction of the dead tissue produces hydrogen sulphide. When hydrogen sulphide comes in contact with Fe of Hb- Fe sulphide is produces • Pseudomelanosis due to black discoloration • Putrid odor due to hydrogen sulphide • Dead tissue is demarcate sharply from the living by a line of severe inflammatory reaction Microscopically • Structure less necrotic area stained pink is seen with numerous bacteria • A few gas bubbles are evident by clear spaces • An acute inflammatory reaction is present at the junction of the living and dead tissue
  • 7. Moist gangrene • Occurs in the internal organs where there is an abundance of moisture and temperature is higher • With optimum conditions of moisture and warmth, the growth and spread of saprophytic bacteria are very rapid • When the intestinal wall get necrotic, rupture occurs and fecal content are discharged into the peritoneal cavity, spreading microorganisms throughout the viscera. • Course of events is extremely rapid and death occurs from septicemia, toxemia and shock
  • 8. Macroscopically • Gangrenous tissue is moist and red, green, grey or black in colour as a result of iron sulphide formation • Odor is extremely offensive due to hydrogen sulphide • Putrefaction produces gas and numerous gas bubbles are present within the tissues • Intestine is distended with large quantities of gas • No sharp line of demarcation between the living and dead tissue
  • 9. Gas gangrene, Malignant oedema and black quarter • Specific type of moist gangrene frequently observed in animals and due to the invasion of tissue by various clostridial organisms (Cl. perfingens, C. chauvoei, C. septicum, C novyi) • These organisms are inhabitants of soil and the digestive tracts • They enter into wounds of various types. The injury to tissues results in necrosis and in this necrosis tissue organisms grows and multiply • They produce toxins that kill the surrounding tissue • They then invade the necrotic tissue, spread through out the body and bring about the death • Seen in BQ and malignant odema