CORRESPONDENCE. 
527 
cities of the country it visited, and the character of the compli¬ 
cations that presented themselves, and last, but not least, the dif¬ 
ferent phenomena of the disease itself, which differences were 
patent to the most ordinary observer; moreover, the crisis of 
the disease in the last visitation varied greatly as compared with 
the former ones. 
The chief reasons for accepting the term epizootic cellulitis 
are—(excluding complications) there is no special organ or appar¬ 
atus, where the disease is invariably localized, it being a general 
affliction, ushered in usually by a high initial fever, and as a rule 
having its visible expression within the cellular tissue of the ex¬ 
tremities and palpebral region, the former, being at first charac¬ 
terized by a shifting of the posterior extremities, next an erysip¬ 
elatous swelling and tenderness—in some cases lameness is 
observed, which is followed by a stiffness, and after the febrile 
stage has subsided, a marked debility supervenes, and the swell¬ 
ing assumes an oedematous form, the latter by a swelling of the 
palpebral connective tissues of one or both eyes, a puffiness and 
eversion of the conjunctiva, with an appreciable serous infiltration 
submerging it, attended with a partial protrusion of the mem- 
brana nictatans, turbidity of the cornea and a marked photophobia 
in some cases. This is not absolutely pathognomonic ; however, 
it occurs in a vast number of cases and is worthy of mention ; 
moreover, it assists materially in supporting my views as to the 
localization of the disease. 
By recognizing these facts, is it not self evident that the cel- 
lutitis is the disease, per se , and not only dependent principally, 
if not entirely, upon the debility of the circulatory system, as Dr. 
H. claims. I have often observed that the soreness and stiffness 
existed one or two days before any swelling was perceptible. 
Now, let us see what the chief complications of the present 
epizootic are. They, in my experience, do not in the least com¬ 
pare with those of the preceding outbreak of influenza. 
Suppurative pneumonia is the main fatal complication. It 
ordinarily begins as a latent form of interstitial pneumonia, and 
not with the true catarrhal type, as during the former invasions 
of influenza. To discover the presence of this organic cellulitis, 
