Identifier: americanpractic02brya (find matches)
Title: American practice of surgery ; a complete system of the science and art of surgery
Year: 1906 (1900s)
Authors: Bryant, Joseph D. (Joseph Decatur), 1845-1914, ed Buck, Albert H. (Albert Henry), 1842-1922
Subjects: Surgery
Publisher: New York, W. Wood and company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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Fig. 12.—Glanders in the Nares. (Rayer.) GLANDERS. 45 the acute. It is often preceded by a prolonged period of incubation or latency,and runs an indefinite course of months or years. It is perhaps to be accountedfor by a lowered virulence in the infecting bacihus, or an imusual indi\idualresistance to the disease in the patient. ^Mien the chronic form is once estab-lished, fever is generally absent or very slight. The lesions are less numerousand less generalized than in the acute form. They are sometimes limited to thenose and adjacent parts of the face, a chronic serpiginous ulceration (farcin
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Fig. 13.—Lesions in Chronic Glanders. (After Baracz.) chronique Urehrant—Besmev) progressing in this situation, which may be andhas been mistaken for epithelioma, for lupus, or for tertiary syphilis (see Fig.13). In less severe cases the processes of infiltration, ulceration, and healinggo on simultaneously, white linear scars bemg formed, which contract andpucker the smTomiding membrane and give an appearance which has been com-pared to that of frost on wmdow panes. Somewhat more than fifty per centof cases recover. AMiile nasal involvement is very conmion in both horseand man, especially m advanced cases, hmg farcy is the most constant lesionin horses, and skin farcy is commonest in man. The frequency of lung mvolve-ment in man is mdicated by the nmnber of acute cases in which pneumonia 46 AMERICAN PRACTICE OF SURGERY. has either been diagnosed at first or mentioned as a complication in the courseof the disease. Diagnosis.—The first essential point is the occupation history, C

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