I. 



Original - Abhaudluiigen. 



Vegetations found in the Blood of Patients 

 suffering with Erysipalis. 



By 



J. M. Salisbury, B. N. S. A. M. M. D. 



The Microscopic examinations of the blood and secretions in 

 Erysipalis were commenced in 1862. The first case examined, in 

 which were found fungoid filaments and spores in the blood, was 

 that of Miss K. W. who was attacked Nov. 25*^ 1862 — in face 

 and scalp. She was a lady of fair complexion, fine constitution, 

 sanguine temperament, aged 22. On the fourth day of the disease, 

 while the face and scalp were much swollen and patient delirious, 

 I drew from the temple half an ounce of blood and about the 

 same quantity from the wing of the nose ; which parts were greatly 

 swollen and covered with minute blisters. Her physician regarded 

 her case as critical and was willing to do anything that would 

 promise relief and satisfy the anxiety of the family and friends. 

 The blood was peculiarly red and clot soon formed which was very 

 firm; leaving on the surface a large proportion of clear serum. 

 In the serum I found nothing abnormal. The clot I found some^ 

 what difficult to examine, on account of its firmness and its being 

 filled so full of blood globules; which were not readily washed 

 out. I spent many hours in teasing out and washing specimens, 

 before I was able to prepare them for a satisfactory examination. 

 During the evening I, for the first time, — detected in the fibre 

 of the Clot fungoid filaments, reeming in various directions and 

 branched as seen at d and e Fig. I. Taf. I. After making the first 

 discovery of filaments, I had not much difficulty in readily finding 



IV, 1. 1 



