_Head._ Membranes and substance of the brain vascular; at the surface of
the right posterior lobe, an abscess of considerable size, the floor of
which was formed by the pia mater; gelatinous effusion between the
arachnoid and the pia mater. _Thorax._ Mucous membrane of bronchi
vascular; substance of lungs healthy; [left cavity of pleuræ contained
eight ounces of bloody serum; right six.] _Abdomen._ Peritoneal and
mucous coats of jejunum and ileum vascular; mesenteric glands greatly
enlarged; several of them suppurated; [large quantity of serum mixed
with pus in the peritoneal cavity; omentum much thickened; adhered to
the superior portion of the spleen; to the edge of the left lobe of the
liver, and to the portion of the diaphragm immediately above the spleen;
in this manner it formed the external boundary of an abscess of
considerable size in the substance of the spleen; portions of the sac
itself ulcerated; the rest of the spleen nodulated; these nodules when
cut into were found to consist chiefly of puriform matter contained in
cells; thoracic duct enlarged; receptaculum chyli exceedingly enlarged
and ulcerated.]
CASE XCVII.
CATHERINE FRENCH, æt. 24. Admitted on the 9th day of scarlet fever.
Complaint came on with sudden loss of strength, shivering and violent
pain of head and chest: at present throat sore; deglutition difficult;
some pain of chest; great tenderness of abdomen; nausea and vomiting;
tongue dry, brown and cracked; slight pain of head; eyes dull, heavy and
suffused; pulse 104, pretty strong; no eruption.
23d. The pain of throat, the difficult deglutition, the tenderness of
the abdomen had disappeared; the pulse had fallen to 90, and she
appeared to be gradually recovering until this day, when, preceded by a
slight return of sore throat, erysipelas appeared on the face; no pain
of head; tongue again brown and dry; pulse 96.
24th. No sleep; delirium; erysipelas extending; pulse 108.
38th. Erysipelas has disappeared, but other symptoms are aggravated;
extreme restlessness; much delirium; frequent cough, with scanty
expectoration; tongue brown, dry and cracked; pulse 86.
39th. Respiration difficult; delirium; vomiting; pulse 120.
41st. Respiration rattling; delirium; inclined to sleep; pulse 120.
42d. Respiration increasingly difficult and painful; pulse 129.
43d. Extremely restless; almost constant moaning; countenance anxious;
cough; tongue continues brown and dry; lips and teeth sordid; pulse 122.
44th. Died during the night.
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