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APPENDIX III.
Plague Mild, Ordinary Type : Recovery.
Registered No. 352, Hindu, male, aged 14 ; occupation, school-boy ; ill one day ;
residence, Dadur ; admitted 11th April 1897 at 1-30 p.m.
Patient was quite well during the day of the 10th instant, and at 10 a.m. got
into the train to go on a journey, and at 11 p.m. on the 11th his temperature was
found to be 106°F. ; some delirium ; tongue furred and bowels constipated ; and he was
sent to hospital.
On admission, temperature 102.4° F.; pulse 138 ; respiration40; slightly delirious.
Tongue coated with thin silvery white fur, red at tip and edges. No injection of
conjunctives. Boy intelligent and conscious when spoken to sharply. Shivered and
vomited twice at 10 p.m. on 10th in the train.
Present state on 12th April at 8 a.m., temperature 105°F. ; pulse 140 ; respiration
36. A fairly well-nourished, bright intelligent boy ; seems rather quiet and disinclined
to talk ; answers questions very slowly and seems dull of apprehension and weary.
Face quite normal, eyes half open, mouth wide open, gums slightly sprongy
pupils normal, conjunctivæ not injected, eyes slightly suffused. Looks prostrate and
stricken. Skin hot and dry, with urticarial eruption, on neck and shoulders, but no
visible abrasions or wounds. Dorsal decubitus.
Tongue evenly coated with white, putty-like fur, edges clean. Pulse 140, soft
and compressible, and want of sharpness in the beat. Liver and spleen, heart and
lungs normal, and abdomen soft. Buboes in the right femoral and right inguinal
region : the former vertical, the size of a bean, well-defined, movable, tender, and with
little œdema surrounding it ; the latter ill-defined, oblique, hard, matted with sur-
rounding œdematous tissues. Skin over buboes hot and tender. Patient complains of
headache, giddiness, weaknessj and thirst. Buboes appeared at 5 a.m.
On 13th temperature 104.4° F.; pulse 140, respiration 32. Slightly delirious,
did not sleep more than two hours. Appetite good and tongue cleaner. No pain in
bubo. Perspires slightly.
On 14th temperature 101.6 0 F. at 2 a.m. ; pulse 74 ; respiration 30 ; and at
8 a.m. he looked bright, conscious, and intelligent. Tongue less furred, bowels
moved four times with gurgling and griping after calomel and jalap purge. Motions
greenish and bad-smelling. Urine copious and natural. Pulse slow and regular,
conjunctive not injected. Seams deaf. Slept well. No delirium.
On 15th temperature 102° F. ; pulse 108 ; respiration 34. Tongue cleaner.
Buboes less tender ; sleepless ; vomited once after jalap powder; bowels constipated.
Complains of weakness, headache, and want of sleep.
On 16th at 10 a.m. temperature 103° F.; pulse 108 ; respiration 34. Buboes
painful and tender larger, and ill-defined. Injected 50 minims of liq. perchloride
hydrargyri below the buboes. Tongue furred, yellowish brown, dry. Eyes normal.
Breath sounds harsh. Rash on neck and shoulders like urticaria and prickly-heat.
Slightly delirious and incoherent. At 5 p.m. temperature 105; pulse 132; respiration
48. Tongue dirty, gums not swollen or spongy, nor breath fetid. Restless ;
wandering at times ; thirsty ; no pain in the head; eyes normal ; no pain on taking
a deep breath. Heart and lungs show no signs of involvment by disease. Upper
inguinal gland on right side larger, harder, and very tender.