40 
COMMUNICATION OF GLANDERS. 
Previous to the death of the groom, the pupil had already 
suffered from an attack of diarrhoea and colic ; but it was only 
in the night after the post-mortem examination that the disease 
really commenced. M. Rocher awoke in the night with shiver- 
ing, to which succeeded fever and general pains. On the two 
following days, although he felt much pain in his joints, yet he 
rose and left his chamber. On the third day the pains became 
more acute, and fixed themselves in the left thigh, the right 
shoulder, and the right side of the chest. On the fifth day M. 
Berard, physician to the hospital, discovered in the thickness 
of the thigh and shoulder two tumours, and from that time he 
prognosticated the most unfavourable termination of the ma- 
lady. During the following days the tumour of the shoulder 
was absorbed, while that of the thigh became soft and fluctuat- 
ing. Six days after its appearance it was opened, and the fluid 
discharged. It consisted of pus mixed with blood. 
The discharge was collected and given to M. Leblanc, a 
distinguished veterinary surgeon, who inoculated a horse with 
it on the same day. 
in the meantime a new tumour, preceded by excessive pain, 
made its appearance on the internal malleolus of the right foot, 
and in the course of three days it arrived at suppuration. Fi- 
nally, a fortnight after the commencement of the disease, the skin 
of the nose became inflamed and painful ; the following day the 
inflammation extended to the cheeks, to the eyelids, and as far 
as the middle of the forehead ; and gangrenous phylactaenae and 
pustules appeared scattered over the red and swollen parts of the 
face. 
The latter symptoms were more marked on the following day, 
when a copious bloody liquid was discharged through the nose. 
Numerous pustules then appeared all over the body, and on the 
ensuing night M. Rocher died — sixteen days from the commence- 
ment of the disease. 
The horse inoculated by M. Leblanc died on the same night as 
M. Rocher, after having exhibited all the symptoms of farcy and 
acute glanders. The examination of the nasal fossse presented 
those lesions which particularly characterise the latter affection. 
The case which has just been related, says the author, proves 
the contagious property of glanders from man to man. It was 
not by inoculation that M. Rocher caught the disease. He had 
no excoriation on the fingers or hands during the whole of his 
attendance on the patient. He neither punctured nor cut him- 
self during the post-mortem examination, but always washed his 
hands carefully after touching his patient. The disease, there- 
fore, must have been contracted in consequence of a miasmatic 
