332 
Facts and Observations. 
FATAL CASE OF GLANDERS. 
GUY’S HOSPITAL. 
Under the care of Mr. Birkett and Mr. Bryant. 
Sidney W. M—, set. 23, a horse-slaughterer, residing at 
Plumstead, was admitted into Guv’s Hospital, on March 13th, 
1861, under the care of Mr. Birkett. He had always had 
good health, but had lived freely. Six days previous to his 
admission he cut his right hand deeply over the dorsal aspect 
of the thumb. The wound bled freely; but he felt no incon¬ 
venience from it of any consequence until the 10th. He 
then had pain in the part, extending upwards to the axilla, 
and also a numbing pain in the calf of the right leg. His 
appetite was, however, good, and he had so little consti¬ 
tutional disturbance that he went as usual to superintend the 
work, which the accident had prevented his carrying out. 
On the 11th the pain in the arm increased, and that in the 
leg on the 12th extended upwards to the thigh. This had 
become considerably aggravated, and he then became gene¬ 
rally indisposed and was unable to stand. The following day 
he applied for admission. 
He stated that he was extremely ill, and that his limbs felt 
almost paralysed ; he was quite unable to stand. He had 
constant rigors, a burning skin, white tongue, and his pulse 
was 120. The wound in the hand was inflamed, and the calf 
of the right leg and the thigh were swollen, and evidently the 
seats of abscesses. These were freely opened with relief. He 
was ordered effervescing medicine, and two pints of porter. 
The case was then regarded as one of pyaemia. 
On the 14th he was much relieved. He had slept tolerably. 
The abscesses discharged freely, and he was able to take his 
food. 
15th.—He was seized with vomiting, bringing up a dark, 
bilious fluid. His powers were less Wine was given 
freely. 
On the 16 th the vomiting continued, and he complained 
of pain in the left thigh. An abscess was discovered on exa¬ 
mination, which was freely opened. The man at this time 
was physically in a very low condition. He took brandy, eggs, 
and other liquid nourishment with avidity. His manner was 
peculiar and somewhat excited. 
