Alexandria gazette. [volume] (Alexandria, D.C.) 1834-1974, 1913-03-08
case OF RAYMOND sTRUDER.
ttany Unmuzzled Dogs on the Streets
of Alexandria. !.

::ond Stluder, tlle little boy, OF thl:
city, who recently died after having
been attacked by g: bull dog.
Cases of human rabies are sufficient
~ rare to justify the report OF single
instances, for only by The collation. OF
the data of numerous observers car
the variant symptomatology be clearly
defined. The experience Of one indi-
vidual is hardly enough for the nu-
-merical method. r
The present case Wa: seen IN con-
su!tation with DR.. Warile!d and DR..
Hugh Mcclure, of Alexandria, Va,
and it is reported through their cour-
tesy. The patient, a white boy, aged
}. was bitten December 13, 1912, by &
large bulldog whose identity is uncer-
tain. The wound was severe iacera-
zion of the right cheek, about inches
long. irregular, and reaching nearly to
che corner OF the mouth. It was
cleaned, irrigated with corrosive sub
Innate solution aid suturet: or
the day of the occurrence. No abAor-
ralities were noted in healing. On the
evening Of February 10, 1913-she SIX.
tieth day after the bite-the child was
taken sick with pain III the region o.
the wound and in the threat, son;e pain
in the abdomen ard LEFT ear, anc
Spasms on attempting
to drink soon became ProTGonce'
and it was stated tina tho
ratient had taken nothing by mouth
since the onset Of symptoms saw :;
small part of hypnotic dose. l zero
was said to have been no bowel r:)ve-
ment since IS hours before onset. lh>
outstanding symptoms had been the
severe and frequent spasms Of deg
Tuition and the vomiting.
When seen by the writer at room
of February 13, two and hal 'ayS
after onset. the condition OF ms pa,
ticnt was said &c be improved. He
was conscious and rational, very ;eak
but moved all parts Of his bod,' l"
bed, somewhat restlessly. TIE ! ghi
cheal: presented the red scar Of tn
wound above described. His az. Gu.
lat;on was not distinct though nj
laws and lips moved readily. He sal"
tTst he was not suffering much anu
10 marked tenderness was found, only
genera! irritability. There was no pa
ra!ysis made out, and the threat arr
abdomen were normal. The To Jut
had a thick, moist, greenish coat: sal
wary secretion Was slightly iEcre SEQ,
but to no such degree as is oite. nc
.!ced in rabies. The aXillary te ger
aturc was 1904 ard The pulse ;ou;
$50, but feeble and al times imp; ;ep-
tiblc at the wrist. Even when -lnG
quietly in bed There were Gh
spastic movements of the throa; en-
mouth muscles; these we're inc Sc
by tanning, and the patient on.
claimed when famed. He reachc fc.
l glass of water as if thirsty. b.. TIL
spasm was much !rcraa sed we tAI
water touched his lips, so thi-t ,oT;
reached the mucous membraE'. he
.aid that The feeling Of veto o. Il.
scar was painful. BY means OF :. '2o'1
some water was introduced iH5o h"
mouth, and Immediately a vioio 1t CT
vulsion began, involving pr;"cii Ally
he threat, face, and head r3u les,
with respiratory spasnl. Thi: / tea
FOR about half a minute.
In this case as in the majority OF
cases the typical symptom of sTaS c.
at attempted or ev,n ;u@-
rested degD.ition of water was IN: one
sign which made the diagnosis ear
There was no possibility of feignir or
nysteria; 2 critical observer Of the
patient could not consider lyssoph )bla
here. The length of the incuba 5!o"
period would exclude tetanus were il
not for the fact that en- unnotlced ~
Jury may have been received SUISSE
1uent TO the dog bite; however, the
muscles of nla5tication were not IN
yolved and the jaw could be opened
readily. There was no definite e9i-
dence of mcningeai irritation, such IS
stiffness of the neck, nor of breaks In
the reflex arcs, as would have been
expected in case of poliomyelltiS.
The history as well as the local e.
animation excluded iTrltability from
d local injury to the throat.
The boy died at a. M. February IL
two months after the injury ard three
days after oNse: of symptoms. No
autopsy was obtainable. This IS the
third known death from hydrophobla in
Alexandria and Iicinity in the last
five years. None Of the patients had
received sntirabic treatn1 ent.
Tho yvriInr r,n nnt rnncl1lde thl :