Maria Moore, æt. 22, servant. Admitted on the 22nd day of scarlet fever: throat well; deglutition easy; no pain of chest; none of abdomen; tongue of dark red colour; bowels purged; some pain of head, especially at occiput; pulse 98.
23d. Pain of head continues; noisy delirium; pulse 108; abdominal symptoms the same.
30th. Amended the day following last report, and continued to improve until this morning, when she was again attacked with soreness of throat and difficult deglutition; tongue loaded; three stools; pulse 98.
31st. Throat equally painful; deglutition equally difficult; pulse 110.
32nd. After the application of leeches to the throat the pain became easier and the deglutition less difficult; internal fauces very red; uvula much swollen.
33d. Throat again better; deglutition easy; pulse 120.
35th. Throat well, but the voice is hoarse; four stools, mixed with blood; pulse 110.
36th. Respiration hurried; tongue brown, dry, and cracked; lips and teeth sordid; four stools, mixed with lumps of coagulated blood, partly passed in bed. Died in evening.
Abdomen. Mucous membrane of ilium and cæcum in part highly vascular and much thickened, in part ulcerated; pancreas indurated; other viscera healthy. Thorax. Epiglottis vascular and thickened; mucous membrane of arytænoid cartilages ulcerated; mucous membrane of trachea highly vascular; [pleuræ of both sides adherent; right lung filled with tubercles; bronchial glands enlarged.] Head. Not examined.
Case LXXXIV.