2 Salisbury, 



them in all parts of the clot. Sprouting spores were also often 

 met with. 



The next day I visited the patient, taking along the micro- 

 scope, and made examinations upon blood freshly drawn, in order 

 to determine whether the filaments found, really existed in the 

 blood when drawn, or whether they developed after it was removed 

 from the body. I readily detected them in the freshly drawn blood 

 in which they were more easily discoverable than in the clot. 



The patient was constantly growing weaker and more deli- 

 rious and the swelling was increasing so that the prognosis was 

 decidedly unfavorable. After consultation with the physician in 

 charge, during which I explained to him what I had found ; it was 

 concluded to direct the treatment as much as possible, to the 

 checking the fungoid growth ; believing that if this were the cause ; 

 and its developement could he checked, a favorable change would 

 result. 



Ordered given 2 grains of quinine every two hours and 20 

 drops of tinct. Feni — chlorid, — in a glass of water every four 

 hours, — and to paint the entire swollen surface wirh dilute tinc- 

 ture of Iron, every 3 or 4 hours. She was to take all the beef 

 tea possible, and bowels were to be opened once daily with cream 

 tartar and bicarb, soda, given in small effervescing draughts. 



In about 12 hours, symptoms began to improve. The treatment 

 and diet were continued and the recovery was rapid and perfect. 



In order to determine the place of this fungus, I drew half 

 an ounce of blood, — before treatment commenced, into a clean 

 bottle, with ground glass stopper and tightly corked and set aside 

 at a temperature of 75^ Fah. In a few days, the surface of the 

 blood was covered with a beautiful crop of fertile threads. On 

 examining these under the microscope, the fertile threads were 

 found to be in full fruit. One of these is represented at a I. Taf. I. 

 The fertile filaments were noticed to branch mostly on one side. 

 The mycelium branched equally in all directions. The fertile head 

 is beautiful and peculiar. Usually the fertile filament is divided at 

 the apex equally into four closely fitting branches, — which go up 

 close together for a distance equal to about four times the dia- 

 meter of the filament, — where they are intercepted by a joint, 

 at which point they all begin to diverge, and as they extend, — 

 bend upwards in the form of a bell. Soon each branch subdivides 

 into four branchlets, — each of which is terminated with a long 



