bk FISTULA AND POLL-EVIL 
number of remounts that develop this compli- 
cation after attacks of shipping fever confirms 
our observation of twenty-five years of city 
practice in this connection. The saccular stage 
of the disease affords a fertile field for the 
localization of the microbes in the germ-ridden 
body of the influenza patient. 
Once infected the patient falls sick and is 
henceforth in the siege of an enfeebling disease. 
The temperature rises to 102 degrees to 104 
degrees Fahrenheit; depression is pronounced 
and movements of the body are painful. Often 
the patient grunts as in pleurisy from the pain 
of turning the body. When these symptoms 
occur before there is any conspicuous surface 
swelling, there is indeed danger of overlooking 
the cause of the patient’s indisposition. Or- 
dinarily the withers are hot, tumefied, radiating 
and painful on one or both sides. 
‘The course of this stage will depend upon 
the virulence of the infection, the fertility of 
the field afforded by the saccular stage, and the 
natural resistance of the patient. If the sac is 
small and well encapsulated and the infection 
feebly virulent, the process may be slow and 
even go on almost unnoticed, all of the while 
causing the formation of more fibrous tissue 
and making its inroad of destruction into the 
poorly nourished ligamentum nuche and ad- 
