Vegetations found in the Blood of Patients suffering with Erysipalis, 3 



moniliform chain of highly transparent, refructive, spherical spo- 

 res, which are shed by the least disturbance. 



The Mycelium (b, c) is jointed and variously branched like 

 that found in the blood in the same case ; a sample of which is 

 seen at d and e I. Taf. I. It will readily be seen that this is a 

 species of Penicillium. This may be the P. crustaceum (glaucum) 

 modified by the soil in which it grew : but the beautiful regularity 

 with which the fertile thread at its apex, is divided and subdivided 

 by fours, — has suggested the specific name, quadrifidura. 



Case 2. In December, 1865 — I was called to see Mr. M. 

 162 Jenica St. Cleveland. He had been attacked with Erysipalis 

 in the wing of the nose six days previous to my visit. The swel- 

 ling and redness extended rapidly over the whole face and scalp. 

 Found the head swollen to nearly twice the normal size, — eyes 

 closed and patient delirious. Could not keep him in bed without 

 constant watching and much persuasion. He had been passing 

 blood from the Kidneys in large quantities for three days. Urine 

 had the color of blood yet was mostly free from clots. On exami- 

 ning the blood from the swollen face and head, — with the micro- 

 scope, — found in it the spores of a species of Fusisporium, 

 resembling that which grows upon the potatoe. On examining the 

 bloody urine, found the spores of the same plant, and occasionally 

 a filament with one or more spores attached. At g I. Taf. I. are 

 seen the various formed spores and at h. is seen a short filament 

 with asingle spore, and at k. a filament with nine spores attached. 



Mr. M. had spent the previous summer in the Lake Superior 

 Mining region attending bar; — and had much of the time lived 

 mostly upon potatoes and bread, — having but little meat. He 

 returned home only a few weeks before the attack; and having 

 no business to attend to did but little besides eating, sleeping 

 and lounging about. 



Ordered given 2 grains of quinine every two hours and 20 

 drops of tincture Ferri — chlorid — in a full glass of water every 

 4 hours. The bowels were to be kept open once daily with con- 

 gress water; and beef tea to be given frequently and all he would 

 take. The face and head were painted every few hours with dilute 

 tincture of iron. 



In about 30 hours, the swelling began to subside, and the 

 patient gradually, but steadily improved; and in about 3 weeks 

 was quite recovered; except the hematuria, which had much les- 



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