Vegetations found in the Blood of Patients suffering with Erysipalis, 5 



cars were crowded and he had to stand most of the day. The 

 weather was cold and damp (during April), and when he arrived 

 in Cleveland, his head was swollen nearly twice its natural size 

 and he was quite dizzy and delirious. Saw him at his lodgings 

 on the evening of his arrival. He was greatly prostrated and 

 chilly. Ordered 2V2 grains of quinine every 2 hours and 20 drops 

 of Tinct. Feni chlorid , in a tumbler of water every 4 hours , and 

 the face and head to be painted every 4 hours with dilute Tinct. 

 Iron. His bowels were quite costive, and urine scanty and high 

 colored. Ordered congress water to be drank through the night 

 when thirsty, and to take all the beef tea he could. 



On examining the blood, found the spores and filaments of a 

 fungus which on developing, proved to be the Penicillium quadri- 

 fidum (salisb.) described in the first case and figured at a, b, c, 

 d and e. The following day he was very delirious and was deter- 

 mined to die; refusing to take medicines and food. By much per- 

 suading, we succeeded in getting him to continue treatment and 

 diet. During the day the bowels moved and the head became 

 somewhat clearer. The head was however enormously swollen 

 and eyes perfectly closed. In about forty hours the swelling began 

 slowly to subside and the delirium abated and strength improved. 

 From this time improvement was gradual, but steady and in two 

 weeks he was up and about. The Cuticle came off over the whole 

 face, neck and head ; the hair, whiskers, and eyebrows all fell out, 

 and it was several months before they again came in and before 

 the unnatural redness of the face and scalp passed away. 



