32d. No amendment in the cerebral symptoms, and the strength is diminished; the mercurial odour is already quite evident, and the mouth is slightly ulcerated; no ptyalism; pulse 126, weak; calomel and opium omitted.
36th. Noise and delirium continue; ulceration of mouth gone; pulse 140, very weak. Calomel and opium were again resumed.
27th. Slight ptyalism; no improvement; pulse 130, extremely weak and indistinct.
38th. Ptyalism continues; sinking. Died.
Head. Membranes vascular; substance of brain much softened; effusion between all the membranes and into the ventricles. Thorax. Bronchi of both lungs vascular, and contained a large quantity of purulent matter; right lung much hepatized; left slightly consolidated. Abdomen. Ilium and cæcum very much ulcerated; spleen very firm, contained one tubercle; other viscera healthy.
Case CV.
William Gander, æt. 22, servant. Admitted on 15th day of fever; no account to be obtained of previous symptoms; some pain of head; much giddiness; mind confused; delirium; expression of eyes wild; face flushed; abdomen tender; tongue foul at root, moist, very red at apex; bowels purged; pulse 99, of good power.
16th. No sleep; violent noisy delirium; eyebrows contracted; face flushed; six stools; pulse 100.
19th. Intensity of cerebral symptoms progressively increasing; constant violent delirium; muscular tremor; subsultus; tongue cannot be protruded; pulse 112. Died next day.
Head. Membranes vascular; substance of brain natural; four ounces of serum in the lateral ventricles. Thorax. Mucous membrane of trachea and bronchi highly vascular; other viscera healthy. Abdomen. Glands of the mucous membrane of the intestines in general enlarged, many of them inflamed; some of them in a state of commencing ulceration, others completely ulcerated, so that the ilium and lower part of colon were full of ulcers, which varied in size, from that of a split pea to a crown piece; mesenteric glands much enlarged and dark; spleen very soft; other viscera healthy.