49 
EKVIEW—GLANDERS IN THE HUMAN BEING. 
of chance that it fell to his lot. In order to bring fairly into view 
the nasal, and frontal, and other sinuses, he had to saw the head 
asunder longitudinally. In doing this he scratched one of his 
fingers against the edge of the bone ; so trivial, however, was the 
injury, that he was not until some time afterwards aware that he 
had cut himself. 
About eight hours after the receipt of the injury he felt himself 
unwell—he had head-ach and chilliness. On the following morn¬ 
ing he felt a slight glandular enlarge merit in the axilla on the side 
opposite to the wound, and then, frst of all, he began to think of 
his injured finger, and to feel inconvenience from it. On examin¬ 
ing it, a little black pustule presented itself, with evident inflam¬ 
mation of the absorbents passing over tlie back of the hand, and 
extending up the arm. His friends were naturally alarmed, and 
he was very soon the patient of Mr., now Sir Benjamin Brodie. 
Abscesses afterwards formed in the other axilla, and also on the 
lower part of the back. His knees were one after the other simi¬ 
larly attacked,—suppurating tumours occurred on various parts 
of his body, and scarcely any portion of his external frame escaped. 
He gradually wasted away under this universal and destructive 
disease, and died, fifteen or sixteen months afterwards, a perfect 
skeleton. Although, as has been stated, every limb suffered in 
its turn, there was no disease of the face or the head, no discharge 
from the nostrils—the countenance was unchanged, except that it 
loas strangely attenuated, and the intellect was unimpaired to the 
very last moment. The serenity and proper feeling with which 
he awaited the departure of life will never be forgotten by those 
who were at his bed-side. 
This is an interesting case, and deserves much consideration. 
The ass was inoculated with the matter of strangles, and that 
taken from a young horse that was in other respects apparently 
sound. The matter was rubbed on the membrane of the nose, 
and inserted beneath the jaw. No tumour appeared in the usual 
place of strangles, but there was a profuse discharge of purulent 
matter unnaturally thickened, semi-concrete —almost suffbcating 
the animal as it escaped. We cannot doubt that this was stran¬ 
gles; but instead of the inflammation taking place, as usual, in the 
subcutaneous cellular tissue beneath and between the jaws—in¬ 
stead of the purulent matter that was to be discharged from the 
constitution pursuing its usual route, it is, by the friction which 
had been used on the Schneiderian membrane, and the irritation 
of the poison rubbed in there, determined to this part. It is still 
essentially strangles; but its seat is tluj nasal membrane in¬ 
stead of the subcutaneous tissue between the branches of tho 
lower jaw. 
VOL. XI. 
ii 
