826 
REPORTS OF CASES. 
infection, as a puncture of the foot or wound of any description. 
The horse was placed in a large box-stall away from the street, 
when on removing the bridle I found it difficult to extract the 
bit. The muscles of the head and neck were very rigid and the 
pulse-rate was 55. I immediately administered hypodermati- 
cally one ounce of Parke, Davis & Co.’s antitetanic serum. The 
next day, July 23, the area of muscular rigidity had extended 
backward over the whole body ; the teeth were firmly set and 
the pulse-rate had risen to 60. The dose of one ounce of anti¬ 
tetanic serum was repeated. 
On the 24th I found my patient unable to drink. There 
was rigidity of the whole muscular system, elevation of the tail; 
the membrana nictitans would pass over the eye very quickly 
upon the least noise or excitement; the pulse-rate was 68. I 
administered another dose of antitetanic serum. July 25 I 
found the patient worse : there was a profuse salivary discharge 
from the mouth, and he was drawn up in the flanks ; pulse-rate 
72. On this date I gave a dose of antitetanic serum morning 
and evening. This condition continued, with elevation of the 
pulse-rate to 85, until July 29. Each day I gave the horse two 
doses of antitetanic serum. Upon the 29th I found the patient 
better ; he was not so nervous as he had formerly been. There 
was a slight grating of the teeth, and the pulse was 78. I gave 
him a dose of antitetanic serum. July 30 I found the patient 
improving, although there was a continual grating of the teeth; 
the pulse-rate was 70. Again I administered a dose of antite¬ 
tanic serum. July 31 the patient was able to drink a little thin 
gruel and seemed very hungry. Upon this date I gave him the 
last dose of antitetanic sernm. He continued to improve, and 
on August 8 I discharged him from the hospital cured. 
Case II .—On August 19 I was called to attend a horse that 
had received a puncture-wound of the foot upon a nail. I pared 
the hoof out thoroughly, treated the wound antiseptically, and in 
four days the horse was working. Ten days later I was again 
called to see the animal, when the owner said that something 
was wrong with his eyes. The membrana nictitans passed over 
the eyes quickly upon the least excitement, although the horse 
was able to eat naturally. The pulse-rate was 45 a minute. I di¬ 
agnosed the case as one of traumatic tetanus, treated the wound 
in the foot, and gave a dose of antitetanic serum. The next day 
the patient was worse, although still able to eat. The wound 
in the foot appeared to be doing nicely; the pulse-rate was 52. 
The second dose of serum was administered. August 31 the 
