[p. 281]
fourteenth day from his taking to bed, after a rigor,
he grew hot ; wildly delirious ; shouting, distress,
| Here perhaps
not bowel trouble. |
much rambling, followed by calm ; the coma came
on at this time. Afterwards the bowels were disordered
with copious stools, bilious, uncompounded
and crude ; urine black, scanty and thin. Great
discomfort. The evacuations showed varying symptoms
; they were either black, scanty and verdigris-coloured,
or else greasy, crude and smarting ; at
times they seemed actually to be like milk. About
the twenty-fourth day comfortable ; in other respects
the same, but he had lucid intervals. He remembered
nothing since he took to bed. But he quickly was
again delirious, and all symptoms took a sharp turn
for the worse. About the thirtieth day acute fever ;
copious, thin stools ; wandering ; cold extremities ;
speechlessness.
Thirty-fourth day. Death.
This patient throughout, from the time I had
knowledge of the case, suffered from disordered
bowels ; urine thin and black ; coma ; sleeplessness ;
extremities cold ; delirious throughout.
CASE XIV
In Cyzicus a woman gave birth with difficult
labour to twin daughters, and the lochial discharge
was far from good.
First day. Acute fever with shivering ; painful
heaviness of head and neck. Sleepless from the
first, but silent, sulky and refractory. Urine thin
and of no colour ; thirsty ; nausea generally ; bowels
irregularly disturbed with constipation following.
Sixth day. Much wandering at night ; no sleep.
