44 FISTULA AND POLL-EVIL 



number of remounts that develop this compli- 

 cation after attacks of shipping fever confirms 

 our observation of twenty-five years of city 

 practice in this connection. The saccula?' stage 

 of the disease affords a fertile field for the 

 localization of the microbes in the germ-ridden 

 hodji of the influenza patient. 



Once infected the patient falls sick and is 

 henceforth in the siege of an enfeebling disease. 

 The temperature rises to 102 degrees to 104 

 degrees Fahrenheit; depression is pronounced 

 and movements of the body are painful. Often 

 the patient grunts as in pleurisy from the pain 

 of turning the body. When these symptoms 

 occur before there is any conspicuous surface 

 swelling, there is indeed danger of overlooking 

 the cause of the patient's indisposition. Or- 

 dinarily the withers are hot, tumefied, radiating 

 and painful on one or both sides. 



The course of this stage will depend upon 

 the virulence of the infection, the fertility of 

 the field afforded by the saccular stage, and the 

 natural resistance of the patient. If the sac is 

 small and well encapsulated and the infection 

 feebly virulent, the process may be slow and 

 even go on almost unnoticed, all of tlie while 

 causing the formation of more fibrous tissue 

 and making its inroad of destruction into the 

 ])()()rly nourislied hgamentum nuclut and ad- 



