GLANDERS 123 
Glanders in man. The symptoms of glanders in man are of much 
importance to the veterinarian. Although the susceptibility to the 
disease is usually not very great, cases of human glanders unfor- 
tunately occur, especially among veterinary surgeons and those hav- 
ing the care of horses. Human glanders is reported to be quite com- 
mon in Russia. Robins has reported 156 cases collected from the 
Fic. 22. SKIN GLANDERS (FARCY). 
literature. The parts usually first affected are the hands, nasal 
mucous membrane, lips and conjunctiva. After a period of incuba- 
tion of from three to five days the infected part becomes swollen and 
painful, with subsequent inflammation of the lymph vessels and 
swelling of the glands. Fever is often the first symptom, and it is 
nearly always followed by a nasal discharge, ulcers on the nasal 
mucous membrane, pustules and abscesses in the skin, ulcers in the 
oral cavity, larynx, and conjunctiva, articular swellings, and grave 
general disturbances. Sometimes there is intense gastro-intestinal 
trouble. Nodules occur in the lungs in some cases. Asa rule, death 
