We find it stated in the Annals, that it was in the censorship[1] of L. Paulus and Q. Marcius that carbuncle[2] was first introduced into Italy, a malady which till then had confined itself solely to the province of Gallia Narbonensis. In the year in which I am writing these lines, two persons of consular rank have died of this disease, Julius Rufus[3] and Q. Lecanius Bassus;[4] the former in consequence of an incision unskilfully made by his medical attendants, the latter through a wound upon the thumb of the left hand by pricking a carbuncle with a needle, a wound so small originally as to be hardly perceptible.

This disease makes its appearance in the more hidden[5] parts of the human body, and mostly beneath the tongue. It originally has the form of a hard, red, pimple, with a blackish head mostly, though sometimes of a livid colour. It produces tension of the flesh, but unattended with swelling, pain, or any itching sensation; indeed, the only symptom that accompanies it is a confirmed drowsiness, which overpowers the patient, and carries him off in the course of three days. Sometimes, however, it is accompanied with shuddering, and small pustules about the sore; and occasionally, though but rarely, with fever. When these symptoms extend to the fauces and œsophagus, death ensues with the greatest rapidity.