23 x 
three weeks as high as 104° F. On the fourth day the swellings began to 
abate, the pulse fell to 96; but on the fifth day the symptoms became 
aggravated, and the head swelled so enormously, that death seemed 
imminent from suffocation. Little blebs or “vesicles” formed all over the 
swellings and in other parts of the body. They shortly afterwards burst, 
and from them rana serous fluid. The swelling of the head afterwards 
gradually diminished in size, and on the tenth and eleventh days the 
swellings—as they often do—began to disappear from one part, and to 
reappear in others, In this case the belly and the sheath swelled enormously, 
and attained a huge size. In the third week immense sloughs of the skin 
formed in parts which had been swollen,and large unhealthy sores discharging 
fetid matter were left. The sheath formed an immense tumour, and many 
pints of serum escaped continually from the sores. Huge pieces of skin 
became detached, and the flesh adjacent rotted considerably. A piece of 
skin half a square foot in area came off from the belly, and another large piece: 
rotted away from adjacent parts. Large fragments also sloughed away from: 
the inside of the thighs, and this detachment of patches of skin continued: 
for the space of two weeks. ‘Then, with very careful treatment, the sores- 
gradually healed, and the horse made a good recovery. In most cases of 
purpura the bowels are confined. Sometimes the excrement is blood-stained,. 
and pain in the belly is frequently manifested. The appetite is impaired or 
lost during the disease ; and a hoarse, hollow cough is often present. The 
patches formed on the nose often slough, leaving raw, ulcerated surfaces,. 
and it is from these that the blood-stained secretion runs. The tongue: 
frequently has blebs on its surface; and the animal moves with difficulty,. 
owing to the stiffened and painful condition of the joints. With great care 
most cases of purpura recover, but sometimes even a mild case, when first: 
seen, may eventuaily prove fatal. : 
We will now turn to the consideration of the symptoms of scarlet fever. 
This fever usually begins towards the end of the first week of the primary 
malady. It may, however, begin as early as the third day, or even as late 
as after the end of the first week. Sometimes, more especially when it 
occurs as a primary malady, scarlet fever proves so mild as scarcely to 
affect the general health, An outbreak of such a kind occurred a short, time 
ago in our practice. This form is called simple scarlet fever. In 
it the pulse is raised to 45—50 beats per minute; the temperature rises. 
one or two or more degrees; and then, after this rise, a rash appears. Little 
smooth blotches are developed on the skin of the face, neck, body, and: 
extremities, but the skin itself is not much elevated. Little blebs also form, 
especially on the inner sides of the thighs. The membrane lining the nose 
and mouth is covered with scarlet spots or streaks of variable size. The 
spots are especially seen on that part of the membrane of the nose which 
separates the two nostrils, and also on the inner surface of the lips. From the 
nose runs a serous discharge, which gradually becomes yellowish brown in. 
colour. The limbs are generally swollen, and the animal is stiff. In some. 
cases there is no eruption, but little spots appear on the nose. The throat 
