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CASE No. LXXXIV.—A GREY PERSIAN GELDING aged 8 years. Was pur-
chased by the Bombay Tramway Company on November 27th, 1889. (No. 62).
Previous History.—Castration was performed in December 1889. The animal has been
in the Infirmary on several occasions either on account of injury or from other causes, viz.,
for six days in March 1891, and again for five days in January 1892, with Hæmaturia.
Present Illness.—On January 19th, 1893, the animal was reported to be off its feed and
this continued until the 21st, when it returned to work. Again on the 23rd the animal was
off its feed. Temp. 1 P.M. 39.1°C. By 4 P.M. it registered 40.5°C., and on microscopical
examination of the blood, the hæmatozoon was discovered.
25th, January 1893.—State on Admission.—The animal is in very good condition, and is
suffering from the ordinary symptoms of fever. It appears a little dull and the skin is hot
and the visible mucous membranes are injected, but there are no extravasations of blood on
the conjunctivae. There is slight œdema about the fetlocks. The pulse is strong and re-
gular but somewhat frequent—44. The breathing is tranquil, respirations—20. The appetite
is good and the evacuations healthy in character. Temp. A.M. 38.8°C. On microscopical
examination the hæmatozoa are found to be very numerous in the blood, which is fairly
normal in colour. The red-blood corpuscles form normal rouleaux and are individually dis-
tinct. The white corpuscles are somewhat increased in number and size ; there are a few
lymphoid corpuscles containing one or more nuclei and a number of small, faintly yellow,
free particles or granules floating in the blood serum. The hæmatozoa are large and the
wavy membrane exceedingly distinct. Temp. 1 P.M. 40.1°C. The urine is turbid, viscid, of
a yellow colour, Sp. Gr. 1,022, alkaline, contains no albumen, but a few Carbonate of Lime
crystals. Temp. 5 P.M. 40°C. P. 48. R. 20.
26th.—-The animal presents a dull appearance. The visible mucous membranes are
injected, and there are numerous, extensive, claret-coloured extravasations involving the con-
junctivas. There is slight swelling and œdema of the hind limbs and scrotum. The pulse
feels like a cord under the fingers ; it is frequent and the beat abrupt—48. The breathing
is free, respirations 24. The appetite remains good. Temp. A.M. 39.5°C. The hæmatozoa are
very numerous in the blood. Temp. 1 P.M. 40.5°C. Urine is turbid, viscid, yellow in colour,
Sp. Gr. 1,020, alkaline, contains no albumen. Temp. 5 P.M. 40.1°C. P. 52. R. 28.
27th.—The condition of the animal is unchanged with one exception, viz. the œdema
of the scrotum has increased and is now spreading forward on the under-surface of the
abdomen. Temp. A.M. 38.7°C. P. 52. R. 24. The hæmatozoa are numerous in the blood.
Temp. 1 P.M. 39.4°C. Urine, turbid, viscid, yellow in colour, Sp. Gr. 1,018, alkaline,
contains no albumen. Temp. 5 P.M. 40°C. P. 68. R. 32.
28th.—This morning the animal presents a somewhat brighter appearance, the visible
mucous membranes are clearer, the claret-coloured extravasations on the conjunctivae are
losing their colour. The swelling and œdema on the under-surface of the belly has
increased in extent and now is visible between the fore-legs. The pulse is frequent— 56; the
individual beats are short and abrupt and the tension of the artery has increased. The
respirations are quickened, but the lungs are free from disease. The appetite continues
good. Temp. A.M. 39°C. R. 32. The hæmatozoon is absent from the blood. Temp. I
P.M. 39.7°C. Urine, turbid, viscid, yellow in colour, Sp. Gr. 1,014, alkaline, contains neither
albumen nor crystals. Temp. 5 A.M. 39.3°C. P. 56. R. 32. This being the first day since
the admission of the animal on which the organism has been absent from the blood, the
opportunity was taken of commencing the Arsenical treatment. Consequently two closes
of four grains each in the form of Liquor Arsenicalis P. B. were given in the drinking
water during the twenty-four hours.
29th.—The swelling and œdema on the under-surface of the belly has again increased
since yesterday, otherwise the general condition of the animal is unchanged. Temp. A.M.
38.5°C. P. 56. R. 28. The hæmatozoon is absent from the blood. Temp. 1 P.M. 38.5°C.
Urine, turbid, viscid, pale-yellow in colour, Sp. Gr. 1,010, acid in re-action, but contains no
albumen or crystals of Carbonate or Oxalate of Calcium. Eight grains of Arsenic were
given during the twenty-four hours. Temp. 5 P.M. 38.6°C. P. 56. R. 16.
30th. The general condition of the animal is unchanged. Temp. A.M. 37.6C°. P. 52.
R. 16. The hæmatozoon is absent from the blood. Temp. 1 P.M. 38.1°C. Urine, turbid,
viscid, yellow in colour, Sp. Gr. 1,010, acid, contains no albumen. Nine grains of Arsenic
were given during the twenty-four hours. Temp. 5 P.M. 38.4°C. P. 60. R. 16.
31st.—The general condition of the animal is unchanged. Temp. A.M. 38°C. P. 60.
R. 20. The hæniatozoon is absent from the blood. Temp. 1 P.M. 38.l°C. Urine, turbid,
pale-yellow in colour, Sp. Gr. 1,010, acid, contains no albumen. Ten grains of Arsenic were
given during the twenty-four hours. Temp. 5 P.M. 38.8°C. P. 60. R. 16.
1st February.—There is very little change in the condition of the animal. The œdemaof
the extremities is less and there is a slight diminution in the amount of the same on the under-
surface of the abdomen. The pulse continues frequent and the beat is still somewhat sharp
and abrupt. The appetite is very good and the evacuations natural in character. Temp. A.M.
37.6°C. P. 60. R. 16. The hæmatozoon is absent from the blood. Temp. 1 P.M. 37.8°C.
Urine, turbid, pale-yellow in colour, Sp. Gr. 1,012, neutral, contains no albumen.
Ten grains of Arsenic were given during the twenty-four hours. Temp. 5 P.M. 38.4ºC,
P. 60. R. 16.