346 ACUTE GLANDERS IN THE HUMAN SUBJECT. 
therewith (illustrating either the essential characteristics of 
the disease itself, the mode and conditions of its contagion, 
or its appropriate and successful treatment), would seem to 
merit the attention of the medical profession. Emboldened, 
therefore, by this consideration, I venture to offer the follow- 
ing brief epitome of a case which fell under my observation 
during the past summer ; with such remarks on its peculiar 
features, and the proofs of certain facts which I humbly 
opine it offers, as suggest themselves to me, and appear 
necessary to its elucidation. The plain statement of the case 
is as follows. 
Case. — On July 15th, 1853, the wife of W. F., aet. 47, 
clogmaker, requested my attendance on her husband, whom 
she described as suffering from sore-tliroat and sore-mouth. 
Supposing it a case of common cynanche tonsillaris, I sent 
him a gargle of alum with honey, and an aperient powder. 
The nexL day I saw him. His symptoms were — profuse 
salivation (the saliva, in fact, pouring from his mouth, which 
was constantly open) ; the tongue was slightly swollen, and 
loaded with a brown mucus; the lining membrane of the 
mouth and fauces was foul and unhealthy; the salivary 
glands were somewhat enlarged. His pulse was quick and 
feeble, and he complained of want of sleep. There was no 
swelling of the tonsils, or of the arch of the fauces. In fact, 
he appeared to have been salivated with mercury, with two 
exceptions to the ordinary symptoms of that morbid condi- 
tion; viz., 1st, the foetor of the breath, which was great, was 
not that of mercurial ptyalism ; and, 2d, the gums were not 
much swollen, nor were the teeth loose. Deeming, however, 
these deviations from the usual routine of symptoms more 
curious than important, and having met with a case in the 
country some years previously, wherein the same absence of 
the presumed diagnostics of mercurial salivation was ob- 
servable, I judged it a case of this kind ; and this opinion 
was apparently strengthened by the statement of the patient 
himself, that, feeling himself unwell a few days before, he 
had taken some pills obtained from a quack in the neighbour- 
hood. I recommended him to use his gargle, as a wash for 
the mouth, diligently. 
July 17th. — He was much worse. The salivation was more 
profuse, and there was much anxiety and general distress. 
He complained of headache, giddiness, and continued rest- 
lessness. The pulse was 120, feeble and precipitous. As 
the gargle did not seem to be of any service, and the bowels 
were unrelieved, I gave him another aperient, ordered him a 
warm gargle of chlorinated soda, and recommended a little 
