Mary Singleton, æt. 28, married. Admitted on the 8th day of fever: pain of head slight, confined chiefly to the occiput; pain of left side, with inability to lie on it; no cough; tenderness of abdomen; pulse 111.
9th. After venesection to twelve ounces pain in head, side, and abdomen relieved; blood buffy.
11th. Slight pain of occiput; much pain and tenderness of abdomen; pulse 120.
13th. Cerebral and abdominal symptoms unchanged; tongue brown and dry; eyes yellow.
19th. Pain of head never entirely disappeared, but though always present it was always slight; now respiration hurried; tongue extremely brown and dry; pulse 120; eyes yellow.
20th. Died.
Head. Membranes of brain vascular with gelatinous effusion beneath them; and slight serous effusion into ventricles: substance both of cerebrum and cerebellum highly vascular; pituitary gland softened and suppurating. Thorax. Mucous membrane of bronchi vascular; substance of both lungs gorged with blood; [pleuræ universally adherent.] Abdomen. Mucous membrane of intestines not vascular; but the mesentery highly injected: [liver adherent to diaphragm.]
Case XXIII.
Mary Ann Lamberth, æt. 16, servant. Admitted on 22d day of fever. Pain of head, which has been very severe, is now gone; no tenderness of abdomen on fullest pressure; tongue red, smooth, and chapped; lips and teeth sordid; bowels purged; pulse 108.
30th. Cough with slight expectoration; cheek dusky; no tenderness of abdomen; bowels purged; pulse 120.