XXX.— A CASE OF PHARYNGITIS DUE TO STRANGLES. 



We have just completed the autopsy of a horse which died of 

 acute sore throat due to strangles, complicated by paralysis of the 

 pharynx. Up to the last day or two we anticipated improvement and 

 recovery ; the symptoms never appeared alarming or likely to end in 

 death, and in fact were even less pronounced than usual in such 

 attacks. For that reason alone the case is of special clinical interest. 

 The history of this patient will form the subject of m}- lecture to-day. 



The animal was brought for advice on the 6th September. It was 

 five years old, and had only been four days in the new owner's stable. On 

 that morning, and even on the evening before, it left the greater part 

 of its food, and seemed tired and depressed ; the skin was hot, the eye 

 injected ; a greyish inodorous discharge mixed with fragments of food 

 ran from both nostrils ; saliva accumulated in the mouth, and escaped 

 freely on introducing the hand. The throat was painful on pressure. 

 The right submaxillary gland was slightly enlarged, the left formed a 

 swelling the size of a walnut, and was surrounded by an cedematous 

 zone ; the centre showed obscurely fluctuation. A few small papules 

 were noticed at different points, especially on the neck and sides. The 

 patient's age and the fact that it had just been bought at once 

 suggested to us the diagnosis of pharyngitis due to strangles. I opened 

 an abscess under the jaw with the usual precautions, and collected a 

 little pus, which I found to contain streptococci in short chains. 

 Being left for treatment the animal was placed in my portion of the 

 hospital. 



My assistant will read you the animal's history from the time when 

 it entered hospital until the da}- of its death. 



"On entering hospital the animal was depressed and took no 

 notice of its surroundings. It scarcely touched food. A greyish 

 discharge mixed with small quantities of food ran from the nostrils, and 

 long strings of saliva occasionally fell from the mouth : the conjunctivai 



