Medical and surgical report of the Presbyterian Hospital in the City of New York . Fig. I. inch in diameter. The pustules were of a yellowish color, and someof them were umbilicated. These are well shown in the accompany-ing photographs by Dr. H. S. Arnold. REPORT OF A CASE OF GLANDERS. 325 With the appearance of this eruption the question of infectionfrom glanders was inquired into, and it was found that the patient wasnot a cook, as he had stated on admission, but a fish-dealer. He owneda horse which he cared for himself, and which was shot by the orderof the Health Department one week befor
Medical and surgical report of the Presbyterian Hospital in the City of New York . Fig. I. inch in diameter. The pustules were of a yellowish color, and someof them were umbilicated. These are well shown in the accompany-ing photographs by Dr. H. S. Arnold. REPORT OF A CASE OF GLANDERS. 325 With the appearance of this eruption the question of infectionfrom glanders was inquired into, and it was found that the patient wasnot a cook, as he had stated on admission, but a fish-dealer. He owneda horse which he cared for himself, and which was shot by the orderof the Health Department one week before the patient was admitted,because it was suffering from glanders. The patient steadily became worse, and died the following day, apicture of the most intense sepsis. Three cultures were made from the blood during life. Those ofJune 27 and June 30 were both sterile. The third, taken July 5, gave. Fig 2- a characteristic growth on potato and in milk, and morphologicallyproved to be a pure growth of bacillus mallei. Three cultures were made from the pus from the joints. The first,from that obtained by aspiration of the joint, is reported as showing a growth of a bacillus of unknown variety. Does not give characteristicappearance of glanders bacillus on potato and does not coagulate a contamination. The second, from the pus obtained onincision of the joint, showed a growth of pure white colonies and someyellow colonies, the former proving to be staphylococcus pyogenesalbus, the latter sarcinae. The third was made from the dischargefrom the joints, on July 6, and showed a very abundant and mixedgrowth, but no bacillus mallei could be isolated. 326 REPORT OF A CASE OF GLANDERS. Immediately after death a culture was made from the pus of anunbroken pustule which gave a characteristic brownish growth onpotato, and rapidly coagulated milk, with formation of a yellowishgro
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Keywords: ., bookcentury1800, bookdecade1890, bookpublishernewyo, bookyear1896
