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CASE OF GLANDERS IN THE HUMAN SUBJECT. 
Another remarkable fact here has been a fatal case, at one 
time somewhat resembling erysipelas and attended with very 
typhoid fever, but which I have no doubt was an example of 
Glanders in the human subject — closely resembling those de- 
scribed by Dr. Elliotson in the “ Medico-Chirurgical Transac- 
tions/’ (vol. xvi.) This was John Turnbull, set. 41, admitted 
evening of 18th November, having been complaining for a fort- 
night of febrile symptoms and pains of joints, and almost en- 
tirely disabled for work. When I saw this man on the evening 
of admission, finding he had been so long ill and was of intem- 
perate habits, with a pustular eruption on the face, and had 
delirium, spectral illusions, and subsultus tendinum, with a 
pulse at 120, small and feeble, his tongue furred and dry, his 
breathing hurried, with cough, bronchial rales, and frequent 
vomiting, I thought it a bad case of bronchitis and rheumatic 
pains, complicated with delirium tremens, and gave directions 
for his reception, if necessary, into the ward appropriated for 
deranged patients ; ordering likewise a blister, repeated small 
doses of aloes, calomel and opium, and a little wine. Next day 
we found that he had not become violent, as expected, but had 
fallen into deep sleep with copious sweating, and although he 
could be roused to answer questions, and his bowels had been 
moved, was nearly comatose. The eruption on his face was 
now perceived to be attended with an erythematic flush on the 
forehead, and closing of the left eye. His aspect immediately 
brought to my recollection the only other decided case of glan- 
ders in the human subject I had ever seen, which was traced to 
infection from the horse ; and one of the gentlemen acting as 
assistants in the ward, who had seen a case in England last 
year, made the same remark ; and then, finding on inquiry that 
he was a cab-driver, I had little doubt of the nature of the case. 
We now found that the same kind of eruption which we saw 
on the face, consisting of small hard pustules (or tubercles, for 
they were almost solid), each surrounded with a patch of ery- 
thematic inflammation, existed on different parts of the body, 
chiefly at the wrists and knee-joints, which had previously been 
the seat of the pains. There was no running from the nostrils, 
although the left side of the nose was much swollen, as in ery- 
sipelas. The vomiting had abated, but the cough and hurried 
breathing and bronchial rales continued; his pulse was more 
