REPORTS OF CASES. 
209 
Case 1 . — Fibroma of the Shoulder Joint—Acute Glanders. 
On the 12th of February, 1880, a grey mule about 12 years old, 
kept in a poor stable down town, was brought to the hospital of 
the American Veterinary College for treatment. She had, on the 
right side at the base of the neck near the point of the shoulder, 
a large tumor. It was round, with somewhat well defined borders, 
hard and smooth ; and beyond the fact that it had been submitted 
to several forms of treatment, which rendered the animal timid 
and sensitive, the handling of the tumor seemed to be painless. 
This swelling was not of recent date, and the mule had been 
treated for it several times, with the same result, viz., that the 
enlargement after some time always reappeared. Apart from this 
condition, the animal seemed to be healthy. 
Looking at the case as one of fibroma, the removal of the 
tumor was advised and performed on the next day, the animal 
being thrown on the left side. The operation was quite simple. 
An incision was made lengthwise along the middle of the tumor; 
the skin was carefully dissected and the tumor well isolated. At 
the last stage of the operation, and as the mass was about to be 
removed, a small cavity on the center of the tumor was opened 
and the escape of about a teaspoonful of thin pus followed. 
The edges of the wound were brought together with quill sutures. 
The animal was placed on good diet and the wound dressed 
daily with carbolized dressing. The suppuration was fairly es¬ 
tablished towards the fourth day, but it remained of thin watery 
character, yellowish in color. The granulations of the surface of 
the wpunds were of a pale red color, flabby, and liable to bleed 
upon being touched. 
About the 18th, the mule seemed to have a little cold; her 
temperature rose to 103; she coughed some and discharge ap¬ 
peared from both nostrils. On the 19th her appetite had dimin¬ 
ished ; the discharge of the nose was of a gluish, bad character, 
and the maxillary glands had become swollen. On the 20th, t in 
the morning, her respiration became labored ; bloody discharges 
were abundant from both nostrils ; the lower part of the maxillary 
space much swollen and painful; fareinous cords appeared on 
both sides of the face on each cheek, and the septum nasi was 
