456 G-ENEJRAL DISEAaES. 



symptoms are an acute catarrh (running) from the nose, the 

 mucous membrane of which is uniformly red and covered with 

 blood-spots. It secretes a discharge which at first is watery or 

 sticky ; but becomes thick (from the presence of mucus) from the 

 third day, and changes into whitish-grey or greenish-yellow later 

 on. This pus-containing catarrh almost always issues from both 

 nostrils ; but is sometimes more from one side than the other. It 

 is abundant in young subjects ; but may be hardly noticeable in 

 old ones. In very mild oases the attack becomes aborted, the 

 course of the disease recedes, and abscesses do not form in the 

 glands ; but in the majority of instances, the discharge of pus from 

 the nostrils is accompanied by a hot and very tender swelling of 

 the glands between the branches of the lower jaw '' (Friedberger 

 and Frohner). As a rule, this abscess comes to a head in about 

 ten days. There is, generally, cough, and more or less difficulty 

 of breathing on account of the swelling. In simple strangles, there 

 is only one tumour, which, as a rule, is clearly defined. The 

 abscesses, in all cases of strangles, are connected with glands. On 

 various occasions, I have seen the glandular inflammation manifest 

 itself first in the parotid glands (these glands extend on each side 

 from a little below the ear to the angle of the lower jaw), and later 

 on in the submaxillary glands, which are situated in the space 

 between the angles of the lower jaw, and are the usual seat of the 

 swelling in strangles. In such cases, the parotid abscess or 

 abscesses (according as one or both sides were attacked) burst close 

 to the joint of the jaw, just below the root of the ear ; and the 

 abscess of the submaxillary glands came to a head, later on, in the 

 usual manner. This complication did not appear to increase in 

 any way the severity of the attack. 



A manifestation of strangles sometimes present, is a skin erup- 

 tion that takes the form of nettle-rash (p. 160), or eczema (p. 150), 

 the serum of the vesicles of which is capable of communicating the 

 disease by inoculation. 



Uncomplicated strangles is a mild disease which runs its course 

 generally in less than three weeks' time. 



COMPLICATED STRANGLES.— The usual complication of 

 strangles is extension of the inflammation from the mucous mem- 

 brane of the nose to other air-passages, with the result of laryn- 

 gitis, nasal gleet, pus in the guttural pouches, inflammation of the 

 lungs; and the formation of abscesses (by pyaemia, p. 516) in the 

 lungs, liver, kidneys, and other parts of the body. Roaring is 

 sometimes caused by such an abscess forming in the glands on the 

 left side of the neck, about the middle of the jugular groove. These 

 abscesses do not c'ome to a head, after running a regular course, as 



