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April 21, 1900


JAMA. 1900;XXXIV(16):1008. doi:10.1001/jama.1900.02460160050009

Roman von Baracz reviews the subject of chronic glanders in man on the basis of a remarkable instance of this infection as the test. The disease developed rather acutely, and so soon after the extraction of a tooth by a shoemaker that this little operation apparently had something to do with the infection, especially as there was no opportunity known whereby it might have resulted from contact with affected horses or with human cases. The instance is truly remarkable on account of the duration—fifteen years, during which the disease remained wholly latent for five years at one time. At first the process was confined to the face and the neck. After being latent for five years it broke out again with increased severity in the nose; soon characteristic foci appeared on the face and the neck, the submaxillary and cervical lymph glands being also involved—an unusual thing in chronic glanders,