171
down with her legs drawn on the abdomen and was in this position for about two
months, during which time the tendons were so much contracted that the legs could
hot be stretched even under chlorom. She was discharged on the 30th of June, and
was advised to go to the J. J. Hospital for further treatment.
Case II.—Shewratan Alopi, a male Hindoo, aged 26 years, suffering from plague
with left femoral bubo, was admitted in the hospital on the 21st February 1900.
The case progressed very well till the 8th of March, when the patient, while walking,
complained of inability to stand and was lifted to his bed. From this day he began
to complain of his inability to use his limbs. He was able to lift up his arm or hand
but was not able to put out both the hands together. The great difficulty he ex-
perienced was in taking his food, as he could not flex or put all the fingers together
so as to pick up or hold any thing. The tactile sensibility was perfect but the motor
power of the fingers of both the hands was lost. He is not able to stand up or put
his legs firm on the ground even when supported. The right leg alone could be
flexed or extended, but the loft leg is paralysed. Ho is not able to flex it or draw it
on the abdomen without the aid of his hands. The spinal column was tender. There
is no other complication. After blistering the spine three or four times and taking
Pot. Iodide in 10 grain doses, the motor power of the fingers of the hands has been
regained. He is now able to eat his food with his own hands and can pick up things
for himself, but the leg trouble still continues. He is not able to stand or get himself
•up, although the voluntary motor power of the right leg is in no way diminished.
There has not been any improvement in the left leg.
Plague Pneumonia.—Forty-eight cases of primary plague pneumonia have been
noticed during the year under review. In these cases, the appearances of the patients
was characteristic. The expression was very anxious and frightened, face cynosed,
breathing hurried, cough troublesome, sputa scanty, mostly bloody. The physical
examination of these patients did not reveal signs of any magnitude to account for
the severity of the symptoms. Crepitation and ronchi were heard here and there-,
but there was no regular dullness at the bases or at the spots where crepitation could
be heard. The termination of these cases was so rapid that there was no time to
think of bacteriological examination. All these cases terminated fatally. They were
as a rule isolated in a separate ward. Large number of cases of this malady appear
in the month of October as compared with the plague cases admitted in that month.
Secondary Pneumonia.—Amongst cases with buboes, symptoms of pneumonia
supervened in 131-cases. The signs and symptoms wore those of ordinary pneu-
monia with characteristic bloody sputum. Out of these 131 cases, in 79 cases the
symptoms and signs were noticed on the day of admission ; in 8 cases they were
noticed one day after admission ; in 14 cases the disease developed two da}-s after
admission; in more 14 cases after 3 days; in 6 cases after 4 days; in 5 cases
after 5 days ; in 2 cases after 6 days ; in 1 case after 7 days ;, in 1 case after
8 days; and in 1 case after 10 days. So it seems that the pneumonic symptoms
set in when the temperature is high and the patient is in the acute stage of plague.
Although a large number of these cases died, one has to console himself that setting
in of pneumonia after the appearance of a bubo is not so fatal as the primary plague
pneumonia.
M. Haffkine's Plague Prophylactic Inoculation Cases.—Fifty-eight cases of
inoculation with prophylactic serum were admitted into this Hospital from 1st June
1899 to 31st May 1900 ; out of these 39 were plague cases and 39 observation cases.
Out of the plague cases, 12 recovered and 28 died. A detailed statement is annexed.
Bacteriological Examination.—Twenty-nine samples of blood, sputum, &c., were
taken by Dr. G. Taylor for bacteriological examination, out of which 18 were
examined for plague bacilli, but were found only in 3 cases. Pneumo-cocci were