90
25th V.—Temperature 100.8º F., pulse 108, respiration 30. Conscious, takes
food, lochia without smell.
On 26th—Slept ; skin cool; conscious ; takes food, Passed three offensive motions,
and in the evening temperature fell to subnormal, lochia ceased and pulse became 100,
very weak and thready. Respiration 40—48. Vesicle on left foot has become an
ulcer 4 aunas in size.
From 26th—29th was quiet and intelligent : slept with morphine injections.
Tongue dry with brownish yellow fur and flaky patches peeling off it. Recognises
friends. Lencorrhœa. Feels better and stronger. Bubo larger and more distant
from the subsidence of œdema. Takes food. Bowels regular. Urine passed.
On 30th, temperature 103.8°F., pulse 120 soft and very compressible, respiration
48.
No sleep the previous night. Wandering in busy delirium. Tongue flaky,
very weak and prostrate. Complete anorexia. Bubo smaller and less tender.
1st—4th May. Prostrate and delirious. Abdomen again distended. Urine has
to be drawn off by catheter. Passes motions involuntarily which are very fœtid.
Vomits food, milk and bilious matter.
Temperature 104.4° F.—103, pulse 110—120, respiration 44—54, and patient
continued to lose ground, became exhausted, developed a bed-sore on the right sacrum,
had very foetid breath, soreles on lips and teeth. Pulse 160, very weak and running
and not to be felt at last ; respiration 60—66; and temperature ran up to 107.2° F.
just before death at 4 p.m. on 8th May 1897.
For the septiccemic condition, which frequent lavage of the uterus, and vagina by
antiseptics failed to prevent, quinine in large doses, salicylate of soda and boric acid
were tried and liq. hydrarg perchloride in full doses.
Plague—Pneumonic Variety ; Death on third Day.
Register No. 350, male, aged 25, sepoy of 4 years' service, employed as cook
orderly for six weeks in Parel Hospital. Attacked 10th April at 8 a.m.; admitted on
11th at 7 a.m., when disease was diagnosed by microscopic examination, and culture
growth as agar on plague pneumonia. Died 13th April at 12-15 a.m.
History.—Suddenly attacked by giddiness, head-ache, repeated vomiting, fever,
prostration, and delirium at 8 a.m. on 10th instant, when temperature was 102.2° F.,
pulse 132, respiration 28 as taken by the Hospital Assistant. At 9 a.m.—Present
state : Eyes markedly injected. Skin very hot and dry, jactitation marked. Delirium
of a noisy character present ; wants to get up out of bed and ran away and is
restrained with difficulty. Can be roused and his attention arrested momentarily,
Says he has severe headache, frontal in site. Talks incoherently and only partly
utters sentences and words.
Complains of pain in right side of chest (4th—9th rib) between mid axillary and
anterior axillary lines where dulness and moist crepitation is detected in small patches,
not more than the area of the palm of one hand being involved, and that only in some
parts. Tongue coated with brownish white fur, red at tip and edges. Tongue large,
teeth—indented at sides and moist. No sordes, dorsal decubilus, and prostration
marked. Expectoration and cough frequent, sputa sero-mucous, frothy, and tinged
with blood. Cover-glass preparations showed numerous plague bacilli present. Pulsa