10th. Pain of head returned; that of epigastrium diminished; no sleep; delirium; pulse 126.
12th. Pain of head again gone; delirium continues; pulse 110.
13th. No sleep; mind confused; delirium; subsultus tendinum.
15th. Cerebral symptoms undiminished; tongue dry and quite black; lips and teeth covered with black sordes.
19th. Severity of symptoms had diminished; lips, teeth, and tongue had begun to clean; pulse fallen to 96; but the parotid gland to-day painful, enlarged and indurated.
20th. Tumour of parotid increased; all the symptoms greatly aggravated; tongue not to be protruded.
22d. Insensibility amounting to coma.
27th. Insensibility and prostration gradually increased. Died.
Head. Arachnoid white and opake; firmly adherent along the vertex to the dura mater. Surface and substance of brain highly vascular; gelatinous effusion between the membranes. Thorax. Mucous membrane of bronchi vascular; [pleuræ adherent; lower lobe of left lung partly hepatized, and partly consisting of a mass of suppurating tubercles.] Abdomen. Small intestines of extremely dark colour; mucous membrane vascular.
Case XXII.