Anthrax in Man. 265 



headache, and giddiness. Suddenly these become more violent, 

 there is vomiting and sanguineous diarrhcea, extreme anxiety and 

 debility, cyanosis, dyspnoea, and it may be the appearance of 

 petechise on the skin and mucosae or even of local swellings. In 

 some cases there are convulsions or other symptoms of nervous 

 disorder and in others extreme prostration and collapse. The 

 bacillus is not always to be found in the circulating blood, but 

 may be detected in sanguineous excretions, or by cultures. 



Pulmonary Anthrax. (Woolsorter's disease). Here again 

 the occupation of the patient assists in diagnosis. For two to 

 five days prodromata similar to those of intestinal anthrax may 

 be noted. The difficulty in breathing, dyspnoea, cough, cyanosis 

 and sense of constriction of the chest are especially diagnostic. 

 Suddenly all these symptoms are aggravated, respirations become 

 30 to 40 per minute, the pulse 120 to 150, the temperature 104° 

 to 106°, and there is a frothy bloody expectoration in which the 

 bacilli may be detected. There may be indications of intestinal, 

 cerebral or nephritic lesions, and bloody discharges. Death 

 usually occurs in 1 2 to 48 hours from collapse, or coma, from 

 asphyxia or in convulsions. The few recoveries are tardy and 

 tremors and spasms persist for a length of time. In the most 

 favorable cases the disease does not proceed beyond the initial 

 stage. 



PROPHYLAXIS AND TREATMENT. 



Prevention is the most important consideration and this will 

 include all that has been stated above with regard to the restric- 

 tion of the disease in flocks and herds, the drainage and improve- 

 ment "bf anthrax lands, the seclusion, destruction, deep burial or 

 cremation of carcasses without autopsy or incision, the disinfec- 

 tion of stalls, secretions and all contaminated products, and the 

 suppression of all traffic in anthrax products — meat, milk, blood, 

 guts, bones, horns, hoofs, hair, wool, bristles, etc., or the 

 thorough disinfection of the same. Above all, is the adoption of 

 personal precautions. No one should handle anthrax animals, 

 nor suspected products who has any sore or abrasion on hands or 

 face, or such sore may be temporarily covered with a film of al- 

 buminate of silver, or the hands may be washed with a solution 

 of mercuric chloride (i : 500), or chloride of lime (i : 200). If 



