COMPTE RENDU OF THE 
580 
for, at the expiration of a fortnight or three weeks, the pulmonary 
lesions will have already assumed a highly chronic character. 
We would advise practitioners to study these facts. Many 
lesions have been attributed to “ mourning of the chine,” which 
were occasioned solely by acute pneumonia arrived at its third or 
fourth septenary. 
11. The phlegmasise of the synovial sheaths which so strangely 
succeed to inflammations of the pulmonary apparatus, and suffi- 
ciently often to enable M. Bouley, jun., to whom we owe their first 
notice, and which appeared in our “ medicine ,” to give a descrip- 
tion of them, and lay down the laws which governed them ; these 
phlegmasim, we repeat, have been observed repeatedly in the hos- 
pitals this year under every degree of intensity, from a slightly- 
painful swelling of the synovial sheaths to a suppurative inflamma- 
tion of the membranes lining them, and to caries of the sesamoids. 
The following case will give some idea of the highest degree of 
complication that it is possible for these inflammations of the 
synovial sheaths to attain — 'those last expressions of diathesis to 
which phlegmasise of the pulmonary apparatus give origin : — 
An entire horse, of the Boulonnais breed, and of an excellent 
constitution, large in size and about thirteen years old, was re- 
ceived into the hospital of the school on the 14 th of December, 
1844, labouring under every symptom of acute pneumonia in the 
left lung. It was treated by bleeding, by the application of revul- 
sives to the skin and the subcutaneous cellular tissue (sinapisms 
and setons), and by tartar emetic administered in his drink daily. 
Under the influence of this treatment the pulmonary disease sensi- 
bly decreased ; for on the 22d of December, eight days after the 
commencement of the disease, the animal was able to lie down on 
either side. 
On the 23d, the rhythm of the respiration was very regular, 
the motions of the flank being but twelve per minute. The animal 
was considered as convalescent. 
On the 24th of December it was perceived that the tendinous 
region of the near fore leg was a little infiltrated, and painful about 
the level of the sesamoids ; and at the same time, on the vein of 
the right side, a phlegmonous tumour, where a bleeding had given 
rise to a thrombus, was recognised : the off leg was the seat of 
an oedematous infiltration, somewhat warm, symptomatic of phleg- 
mon above. The upright position was rendered difficult by these 
two phlegmasia. The animal suffered very considerably — its skin 
was covered with perspiration — the respiration was nervous and 
accelerated — the artery distended — the mucous membranes of a 
deep red hue. Auscultation proved that both lungs were perme- 
able to the air. 
