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On 17th at 8 a.m. temperature 101.2° F.; pulse 132 ; respiration 42. No
headache, skin moist, slept well. No salivation. Vesicular and pustular rash on neck,
back, and shoulders. Buboes less indurated, not painful, or tender. Drowsy and
dazed-looking. No delirium, taste sweetish. Rash disappeared from right side, still
present on back, forehead, neck and shoulders. Anæmia present, tongue clean at
forepart, pulse regular, full; respiration easy but rapid. At 5 p.m. temperature
102.2° F.; pulse 96 ; respiration 30. Tongue clean. Convalescent on 18th. Tempe-
rature 99·4° F. ; pulse 96 ; respiration 26. Glands swollen. At 8 a.m. on 19th
temperature 99.2°F.; pulse 96, quite well. No pain anywhere, appetite good, slept
well. Bowels moved four times in past 24 hours—semi-solid natural motions.
At 8 a.m. on 19th the notes read : temperature 99.4° F., pulse 98, respiration
22. Slept very well, quite conscious and intelligent, rash disappeared, skin soft,
moist, and slightly perspiring. Tongue clean. Talks, looks about him, and takes
an interest in his surroundings. No thirst or headache complained of now. Buboes
thin, flat, waferlike nodules, not tender. At 5 p.m. temperature 99.2° F. ; pulse 96 ;
respiration 20. Slept during the day, is weak and anæmic. Skin normal. Tongue
quite clean ; motions three in 24 hours, of natural character.
Feels and looks
quite well.
On 21st temperature 99° F.; pulse 90 to 96; respiration 20 to 22. No
headache. Tongue quite clean. No rash. Buboes just tangible. No salivation,
tenderness of gums, or fetidness of breath, no pain or tenderness on meeting the teeth
sharply together. Sleeps well, appetite good, anæmia less. Can sit up without the
characters (tone, force, volume or rapidity of the pulse) being altered materially.
Discharged on 25th April 1897. Bash gone, buboes disappeared, induration,
at their site quite absorbed.
Plague with Delirium, Stupor, Coma and Death on 7th day.
Register No. 370, Jew, ill one clay, Aaron Solomon, age 33 years, dealer, admit-
ted 16th April 1897 at 1 p. m., died at 3-40 p. m. on 22nd April 1897.
Patient came from Alibag to Bombay on 16th April. His illness began at 4 a.m.
on 16th with shivering, fever, and vomiting. The day previous he had been quite
well, and not in contact with plague cases. No dead rats had been seen in his
house, but some cases of plague had been in the neighbourhood lately. He was
restless, irritable, sleepless, had headache, severe and frontal, constipated, skin hot
and dry, much thirst and what he terms "staining" of the eyes up till 8 a. m., when he
felt burning pain, swelling and tenderness in the right groin, and came to hospital.
On admission at 1 p. m. on 16th his temperature was 103° F., pulse 108, soft
and compressible, respiration 30. Tongue covered with white fur, bowels constipated,
conjunctivæ injected, pupils normal, skin hot and dry, and urine febrile in character
and diminished in quantity.
Present State.—16th April 1897, at 8 a. m. Temperature 104.6° F., pulse
108, full and bounding, respiration 36, irregular and sighing. Patient is a strong,
well-developed young man with a peculiar anxious, apathetic aspect. He lies
on his back, is dull and quiet, conscious when roused, but answers questions very
slowly, seems wearied and unable to fix his thoughts for any length of time on any-
given subject. Left to himself he scarcely speaks to his friends, lies in a stupid yet
restless state, drawing his legs up towards his body and shooting them out full
length again, rolls his head on the pillow, moans, sighs and asks for water frequently.
He is irritable, dazed, with staring, startled look. Eyes half open, winking seldom
and imperfectly. Complains of severe frontal headache, constipation and thirst. He
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