No. 6. DEPARTMENT OF AGRICULTURE. 153 



4. The differential diagnosis between forage poisoning and rabies 

 depends upon (a) the absence from the medulla and pons in forage 

 poisoning of the perivascular and peri-cellular lesions (liable tu- 

 bercles of Babes); (b) in forage poisoning there is predominance 

 of peri-capsular rather than intra-capsular round cell infiltration 

 of the ganglion cells, (c) Lesions of the larynx and laryngeal nerves. 

 The clinical history is always conclusive. 



5. Forage poisoning is a much better and more comprehensive 

 term than "cerebrospinal meningitis," or than ^'leucoencephalitis," 

 as proposed by MacCallum and Bucklej^ 



(The Journal of Medical Research, October, 1903, Vol. X., No. 2.) 



APPENDIX NO. 4. 



A CASE OF HYDROPHOBIA WITH AUTOPSY. 



BY G. Morton Illman, M.D., of Philadelphia. 



I think it is prudent to report this case for discussion, because 

 of the fact that proper precaution, protecting* human life from 

 one of the most distressingly fatal infections known to mankind, 

 is overlooked, especially in the large communities of America. In 

 some instances the very existence of the condition is questioned 

 by a few members of the medical profession and by the laity. 



The patient was a well-developed male, aged 37, and an electrician by 

 occupation. 



Family History. — His family history was negative, with the exception of the 

 fact that his mother died of pulmonary tuberculosis. 



Previous Medical History. —Investigation as to the previous medical history 

 showed that the patient had been a comparatively healthy man with the 

 exception of a slight persistent cough, with which he had suffered some years 

 ago, but which had ceased after the patient discontinued the excessive use of 

 tobacco. 



Two years ago the patient met with a severe accident, necessitating the 

 partial amputation of three fingers of the right hand. This accident was fol- 



»Read before the Philadelphia Co\ijjty Medical Society, December 9, J903. 

 11 



