28 



I am indebted to Dr. Lingard for verifying the 

 diagnosis of this case by microscopical examination of 

 specimens taken from the nasal mucous membrane, 

 submaxillary gland, and lungs. I might also mention 

 that there was no glanders in the corps to which the 

 horse belonged, and that this proved to be the fore- 

 runner of a series of other cases of epizootic lymphangitis 

 in the unit, none of which terminated in glanders, 

 so I feel convinced that there was no glanders compli- 

 cation. This case was noticed by me in India during 

 the hot weather of 1902, and 1 have gone somewhat 

 into detail to show how much some cases of this disease 

 may simulate glanders, and how easy mistakes in 

 diagnosis may occur if the microscopical examination 

 is not carried out, even by those who may think that 

 they are thoroughly acquainted with the disease. The 

 cases referred to as seen in North China amongst 

 ponies and mules, which I then called pseudo-glanders, 

 were very similar to the case just described, and are 

 now thought to be possibly the same, although they 

 were even much more acute. 



Tokishige states that the disease is always of long 

 duration, and may last for months, and even years ; 

 that acute cases in the true sense of the word never 

 occur, and that the disease only assumes an acute 

 character when it spreads over a large area of the skin, 

 and also to the mucous membranes lining the respira- 

 tory track. In the slighter cases and even in many 

 advanced ones the animal is generally able to do its 

 ordinary work, but when the nasal symptoms develop 

 or cutaneous symptoms are far advanced, the animal 

 quickly falls off in condition, and emaciation sets in, 

 followed by cachexia and death. 



