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as to clinical condition. The patient was admitted on Wednesday,
July 13th, with a large œdematous swelling on the right side of his
neck, extending from the ear to the collar bone. Behind the lobe
of his ear there was an abrasion which had evidently been produced
by scratching. There was no appearance of malignant pustule.
The swelling was incised, which gave relief, and through Thursday
the patient appeared to be much better. On the Thursday night,
however, he suddenly collapsed, and died at mid-day on Friday.
A bacteriological examination was made on Friday morning of
some discharge from the abrasion, which had by that time assumed
a suspicious appearance, the edging being raised and red. The
bacteriological examination showed that bacilli of Anthrax and
Streptococci were present, and cultures gave a typical growth of
Anthrax. After death further cultures were made from the heart's
blood, which also showed abundant Anthrax bacilli and Streptococci.
It would therefore appear that this man died from Anthrax
Septicæmia, possibly complicated with mixed infection of Streptococci.
The condition, therefore, differed in degree, though not in
kind, from the previous cases of Anthrax which have been notified
in this Borough, and have been forms of local Anthrax or
malignant pustule. This case, however, was one of Generalised
Anthrax, leading in the first place to cellulitis of the tissues of the
neck where the virus had been introduced, and extending to general
septicæmia, which produced death, probably by causing great
swelling of the windpipe, resulting in suffocation. An inquest was
held on Tuesday, July 19th, at the City of London Coroner's Court,
by Dr. Waldo. Dr. Ledward gave evidence, and said that the
disease had developed with great rapidity, and was present in a
most virulent form. The jury returned a verdict of "Death from
misadventure."
(iii) On November 11th, I received a notification from the Home
Office of a case of Anthrax in the person of Henry A., aged 31 years,
of 38, Ravenscroft Road, Barking Road, Canning Town, E.,
employed by Messrs. List & Sons, Horse-hair Manufacturers.
The usual enquiries were made. The firm is the same as that
mentioned above. The nature of the work done by Henry A. was