AN OUTBREAK OF GOW-POX. 277 



appeared in one place on each hand. He pointed to two irregular scars 

 as the remains of the eruption. 



CASE III. J. L., milker, stated that he also caught the disease from 

 the cows. On his right hand a spot appeared which formed a blister, 

 then discharged matter and produced a bad sore. Lumps formed at the 

 bend of his elbow and in his armpit. He lost his appetite, felt very 

 poorly, and was obliged to leave off work for two or three days. 



CASE IV. W. K., a labourer on the farm, was put on as a milker to 

 take the place of one of the others with bad hands. After his fifth or 

 sixth milking that is to say, about three days after first milking the cows, 

 pimples appeared on his hands, which became blistered and then ran on 

 to bad sores. He pointed to three irregular scars on the first and third 

 fingers and palm of the right hand. Lumps appeared in his elbow and in 

 his armpit, but he did not feel very poorly in consequence. 



CASE V. J. F., milker, stated that about a month ago he noticed 

 spots which appeared on both hands. His fingers swelled and were pain- 

 ful. He said it came first like a pimple, and felt bard. Then it " weeped 

 out" water in four or five days. There were red marks creeping up to 

 his arm. There was a sort of throbbing pain, and he could not sleep at 

 night. On the right hand there was a scar, but on the left hand there 

 was an ulcer about the size of a shilling covered with a thick black crust. 

 The crust was partially detached, and exposed a granulating ulcer. It 

 was in this stage the exact counterpart of the ulcers on the cow's teats. 



CASE VI. W. H., junior, milker, stated that he had both hands bad 

 about a month previously : first on the index finger of the left hand, 

 and then on the right hand on his knuckle and between the first and 

 second fingers. He said that it came up like a hard pimple, and the 

 finger became swollen and red. After a few days it " weeped out " 

 water, and then matter came away. Both his arms were swollen, bat 

 his left arm was the worst. About a fortnight after, he noticed kernels 

 in his armpits, which were painful and kept him awake at night. His 

 arms became worse, he could not raise them, and he had to give up 

 milking. He also had had a " bad place " on the lower lip. On examina- 

 tion, I found that the axillary glands were still enlarged and tender. 

 He volunteered the statement that the places were just like the sore 

 teats. 



CASE VII. J. H., the bailiff's son, also milked the cows. He had 

 a sore on the upper lid of his right eye and on his left hand. In both 

 cases he had been previously scratched by a cat, and the scratches were 

 inoculated from the cow's teats. The right hand also had been inoculated. 

 The eruption broke out a fortnight previously. His hands were swollen, 

 red, and hot. He felt very poorly and went to bed. Little spots like 

 white blisters appeared on the back of his right hand. His mother 

 remarked that they "rose up exactly as in vaccination." Thick dark 

 brown scabs formed. He was very ill for two or three days, but did not 

 send for a doctor. He had painful lumps at the bend of his arm and in 

 the armpit. He gave up milking, and had not taken to it since. 



On examining him, the thick crusts on his right hand were identical 



(UNIVERSITY 



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