642 
HOWARD B. FELTON. 
A rare complication of distemper is lymph adenitis which 
we have observed affecting the sub-maxillary lymphatic glands, 
the glands on the side of the face, and in two cases the thyroid 
glands, forming abscesses with considerable sloughing of tissue 
and being very slow to heal. A rare sequella which we have 
observed and have not seen mentioned before is purpura 
hemorrhagica, a well marked case occurring in a spaniel puppy 
four months old, one month after recovery from a mild attack 
of distemper/ The alterations are essentially those of a fever, 
the muscles being of a pale yellow color with little red ecchy- 
motic spots throughout their substance and the fat turned into 
little masses of gelatin. The blood is fluid and watery. In en¬ 
teritis we find ulceration and infiltration of the intestines, especi¬ 
ally of Peyer’s patches and the solitary glands. In broncho-pneu¬ 
monia we have congestion of the lungs, bronchi filled with 
frothy mucous, areas of V-shaped lobular pneumonia and possi¬ 
bly presence of abscesses in lung substance. In chorea and 
myelitis we have infiltration of round lymphoid cells into the 
spinal cord, medulla oblongata and cerebellum and granular de¬ 
generation of the nerve cells. 
The treatment is essentially symptomatic. Many cases re¬ 
quire no treatment but good hygienic surroundings and careful 
feeding. There is no disease where careful nursing is more 
urgently required. The eyes need frequent cleansing to pre¬ 
vent ulceration. The bowels need to be carefully looked after 
to prevent enteritis. The animal must be kept from drafts to 
prevent pneumonia, and if a nervous subject must be treated 
very gently to avoid fits. While these complications may oc¬ 
cur despite the best of care, yet the possibility Qf preventing 
them should cause us not to relax our vigilance. 
For conjunctivitis we bathe the eyes frequently with hot 
water and apply a solution of boric acid, ten grains to the 
ounce. For a simple keratitis we use thrice daily a collyrium 
containing % grain atropia and two grains sulphate of zinc to 
the ounce. We have never found it necessary to use a stronger 
solution than this. When ulceration of the cornea sets in we 
