260 
A CASE OF ENDOCARDITIS, INFLAMMATION OF 
THE INNER LINING OF THE HEART. 
By M. Mercier, M.V., Evreux. 
An entire horse, three years old, and of a sanguine tempera- 
ment, had belonged to the proprietor during three months, and 
had been always well fed. He had been bled, and inflammation 
of the jugular vein had supervened ; but in the course of a month 
the inflammation had been subdued, and the wound had healed, 
and the horse returned to his work on the 17th of March 1839. 
On the 20th, he refused the collar, and appeared as if he was 
foundered. He was bled, and returned to the stable. At night 
the symptoms were aggravated, and I was requested to see him. 
He was altogether out of spirits — the skin was hot — stiffness 
at the region of the loins — the respiration somewhat accelerated — 
the beating of the heart strong — the pulse full and quick — the 
mucous membranes of a yellow red colour — very great lameness 
of the left fore foot — and great tenderness at the scapulo-humeral 
articulation. 
Diagnosis . — Acute articular rheumatism, with considerable 
fever. 
1 desired that the corn and hay should be removed and gruel 
given, and said that I would call again early in the morning, 
when I should be better able to judge of his case. 
21 st . — The patient lay down during the whole of the night, 
and now exhibited the same symptoms as on the preceding even- 
ing, with the addition of considerable constipation. 
I abstracted eight pounds of blood, which being received into 
a glass, was, at first, of a deep red colour, coagulating in less than 
seven minutes, but the black clot not being more than two lines 
in thickness. The white clot, with a small portion of serous 
fluid, occupied the rest of the glass. I ordered emollient injec- 
tions to be administered, the diet to be restricted to gruel and 
bran, and a mild liquid blister to be applied over the whole sur- 
face of the shoulder, and where the supposed rheumatic pains 
appeared to be most severe. 
22 d . — The tenderness and pain in the shoulder had disap- 
peared, and it seemed to be transferred to the hip-joint, for much 
uneasiness was evinced on pressure of it, and there was very 
great lameness in that part. The other symptoms were as yester- 
day. 1 abstracted seven pounds more of blood, which presented 
the same character: a blister was applied over this joint. 
