Strangles, Infectious Rhino-adenitis. 127 



etc. When the cough is troublesome it may be quieted by bella- 

 donna, or, in case of weakness of the heart, by digitalis. 



The various complications require treatment appropriate to 

 their nature. Collections of pus in the nasal sinuses may de- 

 mand trephining and antiseptic injections. Swellings about the 

 throat threatening asphyxia and which cannot be relieved by 

 evacuation of pus may necessitate tracheotomy until suppuration 

 occurs. The cutaneous pustules and abscesses are dealt with by 

 pricking the collections and washing daily or of tener with astrin- 

 gent antiseptics (phenic acid and alum). Bronchitis and broncho- 

 pneumonia may be benefited by sinapisms applied to the sides of 

 the chest, the internal administration of potassium iodide, ammo- 

 nium chloride, sodium hyposulphite, terpene or terpinol ; or by 

 inhalation of weak sulphur fumes, or tar vapor. 



For abscesses in the bronchial or mesenteric glands, the brain, 

 spinal cord, or other internal organ, little can usually be done 

 but to sustain the patient and await the course of events. If the 

 abscess can be accurately located it may be aspirated and then in- 

 jected with an anti-septic ; if in the encephalon, trephining may 

 be resorted to ; death is certain in such a case in the absence of 

 treatment. 



During convalescence it is very important to avoid over-exertion 

 and chill, which are very liable to bring on petechial fever. Also, 

 to feed nourishing food, give pure air and water, and to see that 

 no suspension of action of bowels, or kidneys threatens to shut 

 up toxins and waste products in the system. Apropos of impure 

 water Williams quotes the case of a foul stream near Bradford, 

 England, on the banks of which every case of strangles did badly. 



