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Treatment followed in a mild case of Plague or Pestis Minor.
In a mild attack of plague, the same treatment is carried out as in the malig-
nant type, excepting the Hypodermic injections. The condition of the bowels, the
administration of stimulant mixtures and the cold applications on the head and the
buho are carefully looked to as in the acute stage; but the patient is wrapped in a
pack of iced-sheets only over the trunk of the body, and his conji-diet is speedily
replaced by a milk one, which in turn soon advances to a soup-diet and lastly to a
full one.
Convalescence.
During convalescence, the Mist. Stimulans and the pack are gradually omitted,
and the ice-bag removed; the gland is opened and dressed twice a day with Iodine
Lotion and freely irrigated and loose sloughs removed. If there is induration
around the site of incision, Ung. Hg. and Ung. Iod. in equal parts are rubbed, or if
needed, a poultice is placed on it to soften the hardness.
Serum as a Curative Treatment.
The curative serum of Roux was never tried in this Hospital, but two female
patients, mother and daughter, by name Mrs. and Miss Bezonji Kapadia were sub-
jected to Lustig's serum. Their charts are annexed herewith.
Mrs. Snnabai Kapadia, a Parsi female, aged 45 years, was admitted at
4 p.m. on 8th February 1899, with a temperature of 103° and pulse 140 beats,
weak. The fever was of three days' duration. There was no cough nor vomiting
and she had not slept at home the night previous; she was restless, but neither
delirious nor violent. Her bubo was right-femoral and well-developed. The tongue
was brown, but moist. The bowels had been moved freely before admission.
At home, she was, the same morning, injected with 20 c. c. of Lustig's curative
serum, and at 7 p.m. on the same day, she was injected a similar dose in the
Hospital.
Her condition at 7 p.m. was very grave, the tongue dry, the temperature
102·4°, the breathing shallow and hurried, and the pulse irregular and high in ten-
sion. She had moreover mitral iucompetency and extreme debility. There was also
distension of the abdomen. She was injected Ether m. x and Strychnia m. ii on
admission and just before death. Nothing was given to her by mouth except oz. iii
of Brandy with oz. ii of conji every three hours. Ice-bags were kept on the head and
bubo. At 2 a.m. on the 9th, the temperature rose to 105·4°, and she was pulseless;
the pupils were dilated, the extremities cold, and she was gasping for breath. She
died at 2-30 a.m. on the 9th within twelve hours after admission.
Miss Maneckbai Kapadia, a Parsi girl, aged 18 years, was admitted at
2-30 p.m., on 8th February 1899, with temperature 103·8°, pulse 124—fair, and
a foul tongue. There was considerable mental excitement and an inclination to
weep. She was perfectly conscious and there was no delirium, she had a right
inguinal bubo.
She was also injected 20 c. c. of Lustig's Serum at home in the morning and a
similar dose at 7 p.m. in the Hospital. The same treatment was tried in her case
for the first 24-hours as on her mother; but the temperature rose at midnight to
106·4° and she became restless and cyanosed with a feeble pulse at 2 a.m. on
the 9th. At 1 p.m. on the 9th, the usual treatment of the Hospital was given
to her at the request of her relations, and on the llth her pulse was 120—fair
in volume and the temperature had come down to 100°, she was rational and
cheerful, and the bowels that were obstinately constipated for the first two days in
spite of enemata and drugs were freely moved and there was no retention of urine.