Strangles, Complicated by Purpura Hæmorrhagica, Treated With Strangline

(tUnical Brticles. STRANGLES, COMPLICATED BY PURPURA HlEMORRHAGICA, TREATED WITH .STRANGLINE. By CAPTAIN A.

J.

WILLIAMS, F. R.C.V.S., A.V.C.

IIloll"ted Infantry School, Longmoor.

Subject.-A Mounted bfantry cob, age 5 years. History, &c.-Admitted for treatment on September 4, 19IO, showing the usual symptoms of strangles, a submaxillary abscess developing. Isolated and usual treatment. September 9, 19IO.-Strangline I C.C. injected. September IO, 19Io.-Submaxillary abscess opened. September 16, 19Io.-Symptoms of purpura hremorrhagica present this morning, few petechire on the nasal mucous membrane, legs swollen in characteristic manner, breast much swollen, swellings hard, hot and painful. Animal bright and feeding. Pot. chlor. .3iv. in drinking water three times a day, pot. iod. and quinine aa .3iiss. in bolus three times a day. September 18, 19IO.-Lips and nostril s swollen, swellings in legs a little less, swelling on breast drop sical. Feeding well, and bright. Sept ember 21, 19Io.-Increased swelling in both hind legs. Pot. iod. and pot. chlor. continued and strangline 5 c.c. injected. September 22, 19IO.-Swellings much le ss in legs and nearly gone from the lips and nostrils. September 24, 19IO.-Swelling nearly gone from both fore and near hind ; off-hind still enlarg ed; petechire on nasal mucous membrane very faint. Strangline 5 c.c. injected. September 30, 19IO.-The swellings quickly disappeared after the last injection of strangl ine . There was a large reaction, swelling down to the shoulder and under the breast, but it has practically gone now. October 14, 1910.-Discharged cured, to light duty. Rema1'ks.-Purpura hremorrhagica u sually occurs during a severe attack of a debilitating disease, when the vita lity is much lowered and the di sease protracted . In this case the attack of strangles was a mild one and running a normal course when the co mplication suddenly manifested itself.

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Capt ain Williams's Case of Strangles and Pu rpura . 0\ 'l . CJl

The J;(eterz"nary journal. At the time this case occurred, strangline (see VETERINARY JOURNAL, August, 1910) was being tried for the treatment of strangles. There was marked improvement after the first injection of 5 c.c., and all signs of the disease quickly disappeared after the second injection. This was very satisfactory, as up to the time strangline was used the case was making little progress. It appears to have had a bactericidal action on the organism in this case.

TWO CASES OF PARAPLEGIA. By CAPTAI:-I A.

J.

WILLIAMS, F.R.C.V.S., A.V.C.

Mott1tted Infantry School, LOlIgllloor.

CASE I .

Symptoms.-A Mounted Infantry cob, age IS years. History, &c.-January 21, 191I.-The animal had a hard day yesterday. When being led to water this morning, at 7 a.m., she was noticed rolling in gait . Symptoms.-Inco-ordinate movement s, crosses hind legs, catches toes of fore feet against the ground, worse at a trot and when turning, nervous 'expression, eyes staring and bulging. Wheri blindfolded symptoms increased, plaits hind legs, tends tofall backwards, moves to off side and can only get along with difficulty. Aloes 3iv. given, pot. iod. and pot. bromo 3i. twice' daily. March 30, 19lI.-Moving much better. Turned into a paddock during the day. Pot. iod. 3i. and Pulv. nucis vom. 3i. twice daily. April 7, 191 I.-Paraplegic symptoms still marked. April 23, 191 I.-In a very bad state; has difficulty in keeping her feet. April 26, 191 I.-Destroyed by venesection, under chloroform. Post-mortem appearances.-Brain congested, an organized blood-clot in the region of the fourth ventricle. The spinal cord in the lumbar region showed hcemorrhage into the grey matter,. section normal in consistency .