i6i 



pea-to hazelnut-size. The process rarely remains circumscribed, 

 but is mostly propagated by the mediation of the lymphatic 

 system in larger extension over the skin and subcutis or deeper 

 to intermuscular tissue or periost, also to the articulation of the 

 extremities, to the next lymphatic gland and testicles, and 

 seldom, by blood circulation, to distant organs, The disease 

 is not seldom propagated by direct contact from one to another 

 extremity or, as the patient rubs the affected part witli its teeth, 

 so it is often transferred to lips, cheek, &c. In a similar manner 

 the disease is propagated to the nose cavity. 



Certain parts are specially predisposed to this disease. 



The following table will show the number of cases, observed, 

 in reference to the affected organs. Of 25 cases (lII-XXXIIl) :|; : — 



organs affecte l : 



No. of cases : 



in % of total 

 cases : 



Testicle 



16. 



64.% 

 84.% 



Nose 



21. 



Intermaxillary gland 



12. 



48.% 



Lungs 



9- 



36.% 



Pharynx and larynx 



7. 



28. % 



Eyes (conjunctiva) 



2. 



8.% 



Liver 



3- 





Spleen 



I. 



4.% 



Nose aftect. without swelling of inlermax. gland 



Only skin affected 



Skin and nose afiected 



Skin, nose and testicle afiected 



Skin, nose, testicle and lymph, gl. affected 



Skin, nose and viscera affected 



Skin, nose, testicle, lymph, gland and viscera affected 



Skin, nose, testicle and viscera affected 



Skin, nose and intermax. gland affected 



•Skin, intermaxi. gland, hmgs and liver affected 



Skin, nose, gland and viscera afiected 



10. 



3- 

 I. 



3- 

 7. 

 2. 

 2. 



3- 

 2. 

 I. 



I. 



40.% 



12- % 



4.% 

 12.% 

 28.% 

 8.% 

 8.% 

 12. % 

 8.% 

 4.% 

 4. % 



As the above table shows, the part most disposed is, after 

 the skin, the mucosa of the nose, then comes the testicle, the 

 intermaxillary gland, tlie lungs, the upper part of the respiratory 

 tract, the liver, the eyes, and finally the spleen. Here I must 

 say tliat, inost of the above cases were inveterated ones, and 

 hence tlic percentage of internal changes was greater tlian 

 expected. 



% Case XXIX & XXXI (passing patients), case XIX (pure glanders)" and case 

 XXI, XXVII & IX (mixed infection) are omitted. 



