PHLEBITIS OF THE JUGULAR VEIN. 343 



ing a sinuous wound which discharged blood-streaked pus. Another 

 wound existed about the centre of the parotid region. 



In the oedematous tissue filHng the left side of the submaxillary 

 space, a large, irregular, slightly sensitive swelling formed by the 

 submaxillar}' gland could be felt. 



A large swelling covered the region of the sternum and extended 

 beyond the ensiform cartilage. 



The left haunch was atrophied ; the right showed a cool, slightly 

 painful swelling, specially marked over the region of the coxo-femoral 

 joint. The left hock was swollen, denuded of hair by blistering ; and 

 exhibited on the lower and inner surface a small wound discharging 

 whitish pus. 



Nothing abnormal could be detected on percussing and auscultating 

 the chest. Rectal exploration failed to discover signs of intra-pelvic 

 abscess. 



Treatment. — The wounds were washed wdth antiseptics, creolin 

 being used in the fistulous portion of the jugular ; and warm creolin 

 enemata were administered during the evening. Milk, hay tea, 

 brandy, and bicarbonate of soda were gi\en internally. The patient 

 readily took gruel. 



Next day the animal seemed less depressed. The local symptoms 

 remained unchanged. Discharge of pus was facilitated by inserting 

 drainage-tubes in the fistulous portion of the vein. The swelling under 

 the chest showed iiuctuation, and on being opened discharged a pint of 

 pus ; it was washed out and disinfected several times during the da}'. 

 The swelling in the coxo-femoral region was stationar}-. In order to 

 prepare for operation the hair was shaved and the skin disinfected over 

 an area the size of a man's hand, but exploratory puncture was deferred, 

 as the position of the abscess was uncertain. The internal treatment 

 was continued. The evening temperature was 40*5^ C. 



On the 13th there was little improvement though the \ein sup- 

 purated less than on the previous day. In order to check extension 

 towards the base of the jugular a few deep punctures were made with 

 the firing-iron in the upper part of the parotid region. Antiseptic 

 injections into the fistulous vein and into the purulent cavity beneath 

 the sternum were continued. Temperature 40 C. Internal treatment 

 continued. Evening teinperature 40*3° C. Respirations 20. 



On the 14th January temperature 40*6° C ; respirations 26. No 

 striking change except a diminution in size of the swelling in the coxo- 

 femoral region. During the evening the mare lay down and groaned a 

 good deal. She received an enema containing chloral. Temperature 

 40*5° C. Died during the night. 



Autopsy. — -The peritoneum, ecchymosed in places, contained a little 

 yellowish serous fluid. The liver, spleen, and kidne}'S were congested. 

 In the depths of the right haunch was a collection of pus surrounding 

 the hip-joint. 



The left pulmonary lobe contained about fifteen little purulent 

 centres; the pericardium about one pint of yellowish serous fluid. 

 The myocardium showed no lesions, though the endocardium exhibited 

 a few ecch}-moses. 



