CASE XCV.
ANN SMITH, æt. 23, married. Admitted on the 15th day of fever; pain of
head gone; some vertigo remains; no uneasiness of chest; some cough
which excites pain in the abdomen; the latter not very tender even on
full pressure; tongue loaded in middle with white fur, red at edges; no
stool for the last twenty-four hours; pulse 120, weak.
17th. Eruption has appeared over almost the entire skin, consisting of
minute papillæ of a dusky red colour; two stools; pulse 120.
20th. Erysipelas extending over both shoulders; severe pains in the
limbs.
25th. Cough troublesome with copious viscid expectoration; erysipelas
extending from the shoulders to the chest; tongue dry: delirium; pulse
110, weak.
26th. Cough diminished; respiration hurried; stools in bed; pulse 120,
feeble.
27th. Delirium continues; respiration more hurried; pulse extremely
feeble.
28th. Erysipelas still extending; powers sinking; respiration laborious;
stools and urine in bed. Died in evening.
_Head._ Arachnoid vascular; substance of brain vascular; sheath covering
the lumbar portion of the spinal cord highly vascular; cord itself
natural; effusion into the lateral ventricles; plexus choroides and
velum interpositum highly vascular; pituitary gland gritty. _Thorax._
Mucous membrane of bronchi inflamed; substance of left lung intensely
inflamed, being nearly as red as muscle and its lobes adherent;
[corresponding side of pericardium highly vascular; right lung slightly
inflamed; right pleuræ not adherent; left adherent throughout.]
_Abdomen._ Patches of vascularity in mucous membrane of intestines and
over their peritoneal coat; pyloric end of stomach vascular; spleen
soft; other viscera healthy.
CASE XCVI.
JOSEPH BAIRD, æt. 12. Admitted on the 22d day of fever; slight pain of
head; severe pain across the loins; no uneasiness in chest; no cough;
respirations 44; abdomen tender; tongue red, parched; bowels purged;
pulse 134.
33d. Abdomen tender, tumid, tense; four stools; tongue loaded with white
fur; mind distinct; scarcely any sleep; extremely fretful.
34th. No delirium; stools in bed; pulse 114. Died next day.
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