786 
DEATH OF A BOY FROM GLANDERS. 
dence of the witnesses; it is substantially correct, as far as I 
know. There are no horses diseased that I know of; if any 
were so they would be removed. I have never known glan- 
dered horses on the works since I have had the charge of 
them, from Jul} 7 , 1861. 
Dr. Coates , visiting physician to the Bath United Hospital, 
said—Deceased was brought to the institution on the 17th 
September; the following morning I saw him. I was told 
it was a case of rheumatic fever. I found him complaining 
of the left shoulder, elbow, knee, and ankle of the same side. 
On making a careful examination of the shoulder I could 
detect no swelling or redness, but there w 7 as a slight blush 
over the knee and a slight swelling, and a deeper blush over 
the ankle. All the joints were exquisitely tender, and the 
skin hot and dry, the tongue coated down the centre, and 
red at the sides and tip ; he complained of pain in the head, 
was somewhat dry, and not at all communicative; the bowels 
were confined, the urine highly coloured; he showed no dis¬ 
position to sleep. There w 7 as no pain in the other side of 
the body; and as he had night perspiration and other 
symptoms of rheumatism, I put it down to be that disease, 
and treated him accordingly. The next day the symptoms 
were all more or less aggravated; on the 20th he was still 
worse, slightly delirious, and talked somew 7 hat incoherently, 
and there was a blush over the right cheek; in the evening 
the blush had extended to the other side of the face, and in¬ 
volved both eyelids. On examining the surface of the body 
there w ere small eruptions, extending down both sides of the 
neck and arms and both lower extremities, but not on the 
body. The boy at that time was quite insensible, and with 
great difficulty roused; the tongue was much browner, and 
there was sordes on his teeth (a deposit indicative of typhoid 
fever); he was still worse. On the 21st the eruption had 
become distinctly pustular ; the eyelids w T ere so much swollen 
that they could not be opened. The red mark on his leg 
had evidence of matter, and he had one or tw o small abscesses 
on the neck and forehead, which were opened. He had now 
all the symptoms of typhoid fever, but no diarrhoea; he had 
low, muttering delirium ; pulse small, feeble, and irregular. 
On the next day he w 7 as w orse in every respect, the pustules 
still larger and harder, the face more swelled, the erysipelatous 
blush darker coloured, a yellow' matter oozing between the 
eyelids, and a bloody, serous discharge from the right nostril; 
his pulse still more feeble and irregular. He was evidently 
sinking, and he died on the evening of the same day. It 
was only on the Saturday evening that glanders was sus- 
