176 DIAGNOSIS OF GLANDERS. 



The tumefaction of strangles at its beginning, or at times when it 

 progresses unkindly or hardly at all, or when it assumes the aspect 

 we call " bastard strangles*," may something resemble to the feel 

 the solid defined submaxillary swellings denotive of glanders : un- 

 connected, however, with other suspicious circumstances, we have, 

 in the first place, no right to assume any unfavourable opinion of 

 the case ; and, in the second, supposing the «^eand state of health 

 of the patient to afford no interpretation, heat and tenderness in the 

 tumour, with a tendency to spread or grow prominent, and to form 

 abscess, together with the quality of the discharges from the nose 

 (for there will most likely be some), will prove such in a little 

 time as to cast away all reasonable doubt as to the true nature of 

 the case. Should such not appear, the case must be regarded in 

 an unfavourable light, and measures taken with it accordingly. 



Other Diseases still there are, for the most part of rare occur- 

 rence, which may be and have been mistaken for glanders. A 

 discharge from the nose, and in particular from one nostril alone, 

 being the chief or most prominent symptom of glanders, it is evi- 

 dent that any local disease about the head or even in the neck or 

 lungs, giving rise to such a symptom, may, so long as the proxi- 

 mate cause be concealed, be thought to be glanders. Disease on 

 either side of the mouth or throat, attended with the secretion or 

 formation of matter, will be likely to discharge that matter through 

 the nose as well as through the mouth, and most probably the issue 

 will be confined to the affected side ; occasioning even at the time, 

 it is not at all improbable, by irritation, a swelling of the submax- 

 illary lymphatic glands of the same side, and thus simulating veri- 

 table glanders as much as one disease can resemble another. Cases 

 of this description have often baffled professional men — have too 

 often led to erroneous judgment — too often to the destruction of 

 the patient, when, had the true cause of the malady been disco- 

 vered, a simple operation or some appropriate treatment might 

 have saved his life. 



A Carious Molar Tooth has in several instances led to fatal 

 mistakes. One that occurred to Mr. Cherry, I have already given 



* Strangles taking its ordinary course is altogether a different disease from 

 glanders. Vide vol. i of Ilippopathology, page loo ct sequent. 



