Glanders. 277 



or seven years, and the victim may pass through many hands 

 leaving infection in every stable it occupies. Diagnostic symp- 

 toms, more or less clear, may be obtained from the discharge, 

 the lesions of the mucosa and the submaxillary glands. 



TJie nasal discharge may be bilateral, but if confined to one 

 nostril is strongly suggestive of glanders. It may be profuse or 

 scanty, continuous or intermittent, of a yellowish, purulent tint, 

 or greenish, or grayish and with a special tendency to viscidity. 

 In some indolent cases the nostrils may be clean but if there is 

 any matting of the long hairs, or adhesion of the alse nasi, the 

 case is specially suspicious. If it is sanious, flocculent, or bloody 

 it is all the more characteristic, and suggests the supervention of 

 an acute attack. 



Ths. lesions of the pituitary membrane ^x& varied. Hypersemia 

 of a purple or violet color is common, especially along the septum, 

 and the mucosa is liable to be somewhat tumid or cedematous. 

 Nodules the size of a pin's head, a pea or larger appear inside 

 the inner ala, or on the septum or turbinated bones, and at first 

 red from extravasation and, as it were vesicular, become grayish, 

 -whitish or yellow with points of red and surrounded by a deeply 

 congested areola. Larger nodules forming in the submucosa ap- 

 proach the surface and stand out the size of the tip of the finger 

 and with the same general character as the smaller. Sooner or 

 later these degenerate and form ulcers which bear a resemblance 

 to those of acute glanders but are less angry, and when small and 

 solitary may be taken for simple erosions. In other cases they 

 become thickened and indurated with sharply defined projecting 

 margins, and a yellowish base with points or lines of red. The 

 presence of red, black, green, or brown crusts may also be noted. 



Another lesion frequently observed in indolent cases is a cica- 

 tricial white spot or patch in which the hyperplasia has become 

 partially developed into tissue and shows no tendency to ulcerate. 

 The mucosa may even be drawn or puckered around the cicatrix, 

 making the illusion all the more complete. 



The submaxillary swelling is even less sensitive than in acute 

 •glanders and produces the same sensation as of an aggregation of 

 small, hard, pea-like masses with no tendency to ulcerate. 



Symptoms of Cutaneous Glanders {_Farcy) in Solipeds. Acute 

 cutaneous glanders has been already referred to under nasal 

 glanders. The chronic type is often less characteristic, yet may 

 t)e detected by careful observation of the symptoms. The main 



