74
Evening.—Pulse 53, respirations 48, temperature 1044. Urine, specific gravity 20, alkaline
and albuminous ; oedema increasing.
September 23rd—Morning.—Pulse 50, respirations 11, temperature 104. Urine, specific
gravity 30, alkaline and albuminous. Swelling of the glands near side of the jaw, very tender,
so that the artery cannot be felt on that side.
Evening.—Pulse 52, respirations 52, temperature 104. Looks more dejected ; the eyes
discharge mucous, the petechiae are more diffused and not so claret-colored, but more of a dirty
brick-red color. Feeds as usual.
September 24th—Morning.—Pulse 40, respirations 11, temperature 100 (observation repeated)
Urine, light color, specific gravity 22, more alkaline and less albuminous, contains a larger
amount of phosphates. Swelling of the gland increasing and very tender.
Evening.—Pulse 58, respirations 50, temperature 104. Urine, specific gravity 30, alkaline
and albuminous. Mouth keeps moist, and feeds as usual; drinks much. Becoming wretchedly
thin.
September 25th—Morning.—Pulse 45, respirations 10, temperature 1002/5. Examined a fresh
drop of blood, could find only two parasites on the slide, but there is a further increase in the
number of white corpuscles, and a ]arge quantity of granular matter in the serum, also a great
number of small shapeless particles of red corpuscles, from half the size of a healthy corpuscle
downwards. Examined another drop of fresh blood, and could find only one parasite.
Examined a third drop and failed to find one parasite. Urine, specific gravity 28, alkaline,
albuminous, color normal. Laid down last night, for the first time since he came into the sick
lines, was down for 3 or 4 hours, showed no pain. (Edema less this morning.
Evening.—Pulse 52, respirations 50, temperature 103 2/5. Urine, specific gravity 32, alkaline,
albuminous.
September 26th—Morning.—Pulse 45, smaller and weaker; respirations 11; temperature
100 4/5. Urine, specific gravity 31, more alkaline, but has less albumen; color, normal; oedema
is still less than yesterday.
Evening.—Pulse 56, respirations 48, temperature 104. Urine, specific gravity 36, high
colored, alkaline and albuminous; feeding better; oedema subsiding.
September 27th—Morning.—Pulse 46, respirations 14, temperature lOO 2/5. No urine kept.
Evening.—Pulse 64, respirations 54, temperature 105 1/5. Urine, specific gravity 32, high
colored, albuminous and alkaline. Fed up.
September 28th—Morning.—Pulse 48, respirations 12, temperature 1012/5. Urine lost. Re-
fusing food.
Evening.—Pulse 68, respirations 54, temperature 106 1/5. Urine, very high colored, and
contains much albumen. Abscess under the jaw.
September 29th—Morning.—Pulse 44, respirations 9, temperature lOO 2/5. Urine, specific
gravity 24, high colored, alkaline, albuminous. One drop of blood examined and only one
parasite found, which was very active.
September 20th—Morning.—Destroyed for post-mortem examination. A large quantity of
clear fluid found in the abdominal cavity, with a slight velvety fluff of lymph on the parietal
peritoneum, less than in case 1. No inflammation. Filaria papilosa found on the mesentry.
Stomach and intestines opened throughout and found normal, except a number of submucous
petechiae on the small intestines and small colon, which I found under the microscope to be a
simple sanguinous exudate like the petechiae of the conjunctiva, and what I also found common
in the vagina of mares suffering from this disease. They had no relation whatever to the
intestinal glands. The kidneys, liver, spleen, lungs and heart were found healthy. Parasites in
the blood, but not so many as on the 22nd.
Remarks.—Note that in this case albumen was found in the urine throughout, and it
appeared to have no relation with the disappearance of the parasite from the blood, as case 1 led
one to suppose. The structure of the kidney was perfectly normal under the microscope, and
I found no casts in the urine. The structure of the liver was also perfectly normal, though
all the mucous membranes were tinged with the yellow color of bile. I examined these
organs with great care in this case, as well as in case 1, directly after death. The weather
was exceedingly hot, but I had plenty of ice in large felted baskets to preserve the organs
without any post-mortem changes until I examined them (that is, while I was examining
one organ the others remained in ice). The increased number of the respirations in the
evening compared with morning, was as remarkable in this as in case 1, and in all other
cases I observed, and was due, I have no doubt, to the effect of the exposure to the hot
sun. I examined the dung carefully, morning and evening, for worms, &c., and found nothing
abnormal. With regard to the swelling of the submaxillary glands and discharge of mucous
from the nose, I found this in four caes only out of fifty.