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Gangrene.—Cases of gangrene of different parts were admitted with definite
plague symptoms. In all these cases the slongh came off very early, the wounds
looked healthy and granulating, fever disappeared, but tetanic symptoms sot in and '
patients died of tetanus or septicaemia.
Abortion.—Generally all pregnant females affected with plague aborted. There
were 8 patients admitted in the different periods of gestation, one of which delivered
a living child at seven months, but the child and the mother died the next day.
Two patients were admitted suffering from plague in the fourth month of pregnancy,
and I am glad to report both of them did not abort and were discharged cured.
Affection of Speech.—The speech of plague patients is generally very characteris-
tic. It is either stammering or jerking and the words are thick, but in 32 cases
there was complete aphonia. The patients were quite unable to speak but under-
stood everything addressed to them. In one case of a young man of 20, there was no
one to give the patient's history and the patient himself was quite dumb. Although
he expressed himself by signs, was not able to utter a single word. Some people
said he, was born dumb, later on during the convalescent period he developed maniac
symptoms, but all this disappeared in time and lie regained his power of speech. It is
very remarkable how these people with complete loss of speech recover the power
during the convalescent period without any special treatment.
Affection of the Eyes.—Conjunctivitis is very common in plague cases and in
10 cases there was ulceration of the cornea and staphyloma, but a point worth noting
is sudden loss of sight,, while the structure of the eye is in no way affected. There
have been two such cases in the hospital, wherein the patients complained of com-
plete blindness although they were in a convalescent stage. The onset of this symp-
tom was preceded by fever. This condition lasted from tv.o to three months and both
the patients at last recovered their sight.
As to other complications, delirium, diarrhoea, vomiting, hiccough were verv
common. In 28 cases there was retention, of urine.
Petechoe, is not very common. We had only two cases wherein the eruptiou
was well marked.
Guinea Worm.—One case was complicated with guinea worm, which was with-
drawn and the case was discharged cured. It is very common in poor people, especi-
ally among those who are not permanent inhabitants of Bombay. "We had several
cases of guinea worm in the observation and the small-pox wards.
Sequelce.—The sequelae of plague were noticed in two cases. A girl Keru Genoo,
aged 8 years, suffering from plague with left femoral bubo, was admitted on the 22nd
February 1900. The fever came down to normal on the 14th of the next month, the
bubo subsided and tlxe patient was about to be discharged, when from the 22nd of
March she began to be feverish and the temperature rose by half or one degree every
day and went up to 103° F. on the 26th» From this time she began to complain that
she was not able to see anything. Two days after she became unconscious and
could not answer questions or do any voluntary act. She then showed sio-ns of
mania, which were characterized by exceeding sensitiveness to light and sound, dis-
position to sudden starting of the legs, and by smearing her bed with faeces. As she
would not drink or eat anything, she was fed by nasal feeds for a period of one
month, after which period she began to regain consciousness, ask for food, the mania-
cal symptoms disappeared and she began to answer questions rationally, but she
was not able to see anything. Early in the month of May she said she could deci-
pher faces though dimly. From this time her sight began to improve and by the end
of the month she got normal sight. During the maniac period she used to lie