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three weeks as high as 104 F. On the fourth day the swellings began to 

 abate, the pulse fell to 96 ; but on the fifth day the symptoms became 

 aggravated, and the head swelled so enormously, that death seemed 

 imminent from suffocation. Little blebs or "vesicles" formed all over the 

 swellings and in other parts of the body. They shortly afterwards burst, 

 and from them ran a serous fluid. The swelling of the head afterwards 

 gradually diminished in size, and on the tenth and eleventh days the 

 swellings — as they often do — began to disappear from one part, and to 

 reappear in others. In this case the belly and the sheath swelled enormously, 

 and attained a huge size. In the third week immense sloughs of the skin 

 formed in parts which had been swollen, and large unhealthy sores discharging 

 fetid matter were left. The sheath formed an immense tumour, and many 

 pints of serum escaped continually from the sores. Huge pieces of skin 

 became detached, and the flesh adjacent rotted considerably. A piece of 

 skin half a square foot in area came off from the belly, and another large piece 

 rotted away from adjacent parts. Large fragments also sloughed away from 

 the inside of the thighs, and this detachment of patches of skin continued 

 for the space of two weeks. Then, with very careful treatment, the sores 

 gradually healed, and the horse made a good recovery. In most cases of 

 purpura the bowels are confined. Sometimes the excrement is blood-stained, 

 and pain in the belly is frequently manifested. The appetite is impaired or 

 lost during the disease ; and a hoarse, hollow cough is often present. The 

 patches formed on the nose often slough, leaving raw, ulcerated surfaces, 

 and it is from these that the blood-stained secretion runs. The tongue 

 frequently has blebs on its surface ; and the animal moves with difficulty, 

 owing to the stiffened and painful condition of the joints. With great care 

 most cases of purpura recover, but sometimes even a mild case, when first 

 seen, may eventually prove fatal. 



We will now turn to the consideration of the symptoms of scarlet fever. 

 This fever usually begins towards the end of the first week of the primary 

 malady. It may, however, begin as early as the third day, or even as la 

 as after the end of the first, week. Sometimes, more especially when i 

 occurs as a primary malady, scarlet fever proves so mild as scarcely to 

 affect the general health. An outbreak of such a kind occurred a short time 

 ago in our practice. This form is called simple scarlet fever. In 

 it the pulse is raised to 45 — 50 beats per minute; the temperature rise 

 one or two or more degrees; and then, after this rise, a rash appears. Little 

 smooth blotches are developed on the skin of the face, neck, body, and 

 extremities, but the skin itself is not much elevated. Little blebs also form^ 

 especially on the inner sides of the thig^hs. The membrane lining the nose 

 and mouth is covered with scarlet spots or streaks of variable size. The 

 spots are especially seen on that part of the membrane of the nose which 

 separates the two nostrils, and also on the inner surface of the lips. From the 

 nose runs a serous discharge, which gradually becomes yellowish brown in 

 colour. The limbs are generally swollen, and the animal is stiff. In some 

 cases there is no eruption, but litile. spots appear on the nose. The throat 



