638 
A CASE OF GLANDERS IN A HUMAN BEING. 
The following case of “ Glanders in a Man,” supposed to have 
been caused by the absorption of the glandered virus from a horse, 
is abstracted from the Provincial Medical Journal of September 
last. It was inserted by Mr. John L. Scarbrough, M.R.C.S., 
Sheldon, Devonshire. Should you think it worthy of insertion 
in yTrnr valuable journal (of which I have for several years been 
a constant reader), it would much oblige 
A Veterinary Student. 
“ In the latter part of May I was requested to visit Andrew 
Foot, aged 36, of good constitution, and of rather spare habit of 
body. He told me that he had had for several days a very trou- 
blesome pain in the back part of his neck. On examination, I 
found a swelling (resembling a carbuncle), very hard, shining, 
somewhat cedematous at the sides, and black in the centre. I 
made some free incisions into it, ordered him to poultice it well, 
and gave him a little alterative medicine; and in a few days 
(June 3), the sore was quite healed.. 
“ On the 6th he sent for me again. I found him labouring under 
severe pain in the head, with a hard pulse of 96 in the minute. I 
bled him to the amount of twenty-four ounces, gave him six grains 
of the hyd. submur. with ten grains of the ext. colocynth. comp., 
which acted very freely on his bowels : he then found himself 
very much relieved, but complained of pain in his foot. 
“ Being served with a subpoena to the Exeter assizes, I lost sight 
of him for four days. On my return I visited him again, and 
found him in bed with his foot very much swelled. He told 
me that he had been in so much pain that he was obliged to 
call in another medical man, who treated him for the gout — his 
foot had that appearance — however, in the course of two or three 
days the swelling appeared to have considerably lost it vitality, 
and became flabby, and when punctured, it discharged a quantity 
of sanious matter. Several pustular spots appeared on the body, 
face, &c. ; his foot became gangrenous ; the pulse low, hard, and 
irregular ; there was severe pain in the head ; the breathing dif- 
ficult, with cough and rigors. 
tl The foot continued to present a bad appearance, surrounded 
by a high-coloured erysipelatous flush ; wandering pains in the 
extremities ; the pulse strong, and considerable thirst. The tongue 
became very tremulous, with considerable snuffling in the nos'e. 
The eyes and nose were very much tumefied. The snuffling very 
much increased, and the expectoration was mixed with pus-like 
matter, which appeared to have been principally discharged from 
the nares by the mouth, as he was not able, from debility, to 
