262 
SUPPURATIVE LARYNGITIS. 
Dr. Jenner has personally informed me that his views, pro- 
pounded in 1853, have only become consolidated with time 
and experience; and as it is clear that Dr. Jenner’s pyogenic 
fever , and the idiopathic pyaemia spoken of by my brother, are 
one and the same disease, so there can be little doubt as to 
the accuracy of my brother’s notion, that “ the presumptive 
evidence is in favour of the belief that cases of pytemia occur 
without any solution of continuity, or other diseased condition 
of the veins.” 
After having thus exposed the opinions of medical men, it 
is extremely interesting to read Hering’s work on the ‘ Diseases 
of the Domestic Animals,’ the last edition of which is of 1849. 
There is a variety of hectic which this learned veterinarian 
calls “ symptomatic hectic fever” this being synonymous with 
“ eiterungsfieber.” The literal translation of the latter ex- 
pression being “ suppurating fever f or the pyogenic of Dr. 
Jenner. 
This very frequently occurring form, Hering tells us, 
originates either as the sequela of a drain on the system by a 
disproportionate abundance of the secretions interfering with 
nutrition, like as in bad diarrhoea, and even when excessive 
quantities of milk, or of semen, or of urine are formed, or 
through chronic and copious suppurations from the surface of 
wounds, & c. Albeit, in most cachexiae, a hectic fever occurs 
towards their close, especially in cases of tuberculosis or 
acute suppuration of the lungs, or of the liver, or mesenteric 
glands. It appears that the blood wastes itself in the forma- 
tion of pus, and sometimes the pus enters the circulation to 
work its deleterious effects. This form of wearing-down fever 
is distinguished by Hering from the distinct infection of pus 
which indubitably occurs on the entrance of pus in the blood. 
It is not then of to-day that the doctrine of a purulent dia- 
thesis has gained credence with veterinarians. 
Dr. J enner tells us that “ the acute specific disease, with 
which especially the acute purulent diathesis, or pyogenic 
fever, may be confounded, is, especially, typhus fever. From 
this it is distinguished by the activity of the febrile symptoms 
at the outset, the early delirium, the absence of eruption, 
and the rapid formation of the numerous centres of suppura- 
tive action.” 
“ Pathologically, the affinity of this disease seems to be 
with erysipelas.” 
After all this, I may laconically state that I con- 
sider the case you this day record as one of “ idiopathic 
pyaemia or “ pyogenic fever f which Dr. Jenner, Hering, my 
