xxiv
CASE No. LXX.—GREY AUSTRALIAN GELDING, marked No. 403 on the off hind
hoof, belonging to the Bombay Tramway Company, was taken into their Infirmary and
placed under observation as a suspicious case on September 17th, 1892.
23rd.—Temp. 40.5°C.
24th.—Received at the Laboratory this morning. The state on admission.—The
animal is in good condition but aged, and is suffering from the ordinary symptoms of fever
and appears dull, stupid, the skin is hot and the visible mucous membranes are injected, but
there are no extravasations of blood on the conjunctivæ. There is slight œdema about the
fetlocks. The pulse is thready. Temp. A.M. 40°C. P. 56. R. 24. The hæmatozoa
are numerous in the blood which is fairly normal in colour, the red corpuscles form natural
rouleaux and are individually distinct, a few are crenated at the edges. The white
corpuscles are not increased in number; there are a few lymphoid corpuscles containing one
or more nuclei. The length of the hæmatozoa is considerable, the width of some appearing-
considerably greater than others. Some are attached in twos by their flagellated extremi-
ties. Each possesses a bright circular spot, its size being nearly half the body diameter,
taken at the widest part; the wavy membrane running down the back is well marked in
all the specimens observed.
Temp. 1 P.M. 39.3°C.
Urine—Turbid, orange in colour, Sp. Gr. 1,030, alkaline, contains no albumen or phos-
phates, but numerous crystals of Carbonate and Oxalate of Calcium. Temp. 5 P.M. 39.3°C.
P. 48. R. 36.
25th.—The animal appears lively, and in fairly good health, appetite excellent, the
visible mucous membranes are not of such, a bright yellow as yesterday. The pulse is hard
and irritable. Temp. A.M. 40.4°C. P. 56. R. 28. Hæmatozoa very numerous in the blood.
Temp. 1 P.M. 40.6°C.
Urine—Turbid, orange, Sp. Gr. 1,030, alkaline, contains no albumen or phosphates, but
numerous crystals of Carbonate and Oxalate of Calcium, no casts.
The treatment to be adopted in this case is the one which has been carried out with
more or less marked success in the treatment of Anthrax and other blood disorders.
It consists in the administration of comparatively large doses repeated at very short
intervals. At 7 A.M. the horse received—
R.
Acidi Carbolici (pur) 3ii.
Iodine
(pur) 3ss.
Spt. Ammon. Ar.
3i.
01. Lini.
3vi.
misce. ft. Mist.
At 9 A.M.
R.
Acidi Carbolici (pur) 3i.
lodiue
(pur) 3ss.
Spt. Ammon. Ar.
3i.
Ol. Lini.
3v.
misce.
This dose was repeated at 10, 11 and 12 at noon.
The blood was examined at noon and the hæmatozoa were very numerous and active.
As it was deemed advisable to discontinue the administration of 01. Lini., Glycerine and
water were substituted for it, and the draught thus constituted was administered at
1-30 P.M., 2-30 P.M., 3-30 P.M., 4-30 P.M., 6-30 P.M., 7-30 P.M., 9-30 P.M., 11-30 P.M.
At 2-30 P.M. P. 60. R. 56.
„ 3-30 „ P. 60. R. 54. The animal shows no signs of discomfort.
„ 4-30 „ P. 60. R. 54.
do.
do.
„ 5-0
„ P. 56. R. 54.
do.
do.
Temp. 6 p.m. 40.6°C.
The animal up to midnight has received Acidi: Carbolici (pur), thirteen drachms (3xiii),
Iodine pur (3vi) six drachms ; and has shown no signs of discomfort in consequence.
26th.—The animal, received the above medicine at 2 A.M. and 6 A.M. This morning the
animal looks bright, and walks about freely round the loose box. The respirations are
quickened, but the lungs are free from disease. The visible mucous membranes retain their
yellow tinge, but there are no petechiæ on the conjunctival membranes; the pulse is strong
but not hard, and the appetite is very good. The fæces are somewhat soft, but there is no
diarrhœa. Temp. A.M. 40.3°C. P. 60. R. 60. The blood contains very numerous hæma-
tozoa. The medicine was administered at 12 noon. Temp. 1 P.M. 40.7°C. Urine, clear,
non-viscid, bright yellowish-red in colour. Sp. Gr. 1,032. Alkaline, no albumen. Temp.
5 P.M. 40.3°C. P. 64. R. 56. The medicine was administered at 3 P.M., 6 P.M., 9 P.M.,
and at midnight.
27th.—The animal received the medicine at 6 A.M. and appears very much brighter this
morning. The pulse is regular and strong, but the respirations continue frequent. The
appetite is excellent and the excretions healthy in character. Temp. A.M. 40.4°C. P. 60.
R. 56. The medicine was administered at 9 A.M. and at noon. The hæmatozoon is absent