GLANDERS IN ILLINOIS. 
303 
On March 12tli, the symptoms were aggravated ; the swelling 
of the frontal region had increased. The parents believed that 
the disease was erysipelas ; but discoloration, &c., as in that dis¬ 
ease, were wanting. There was no discharge from the nose. 
On March 13th, the case passed into the hands of Robt. 
McPherson, M.D., who informed me that the swelling of the 
forehead had increased and extended to the nose, cheeks and lips. 
The eyelids were also much swollen, and were closed. The 
glands on the left side of the neck were much swollen. 
I saw the boy again on Tuesday, March 20, and found pus¬ 
tules, bullse and tubercles on various parts of the body and limbs. 
Gangrene had also set in on the face, cheeks and forehead, which 
parts seemed completely inliltrated with pus. The tubercles and 
pustules in some places began to break and discharge; and a pro¬ 
fuse purulent discharge came from the nose. There was also an 
excessive perspiration of an offensive odor present. Respiration 
was labored; the voice was lost; the action of the heart was rap¬ 
idly failing. From the beginning the patient preferred to rest 
in a prone position, and was very restless from pain in the head. 
About the 20th of March, he preferred a supine position. He 
seemed to have his full senses, but from the beginning and until 
the case became very much aggravated, lie could speak only in a 
whisper. About March 20th, coma ensued, and this became 
gradually more profound, until he passed away on the next day. 
He was buried on March 22d. 
On March 23d, the father, Wellington Conaway, aged 45 
years, was taken ill. In fact, the day before, at the burial of his 
son, he complained of being unwell. Robt. McPherson, M.D., 
who was called in, diagnosed pleurisy, and treated the case as 
such until March 30th. 
On March 29th, I had an interview with Dr. Taylor, and ap¬ 
prised him of my suspicion that this case was one of glanders; 
my belief being based on the fact that several running sores had 
appeared on the body and limbs of the patient. I saw the case 
on the 30th, in company with Dr. Segur, a partner of Dr. Tay¬ 
lor. On the 29th, a hard, diffused swelling had appeared over 
the left eyebrow. The tubercles and pustules which had ap- 
