11th. Face livid; dark, bloody-coloured fluid issuing from the mouth; convulsive twitchings of muscles of face and hands. Died.
Head. Arachnoid opake; dura mater vascular; substance of brain vascular; some effusion between membranes and into ventricles. Thorax. Nearly healthy. Abdomen. Mucous membrane of ilium vascular; liver soft.
Case XXV.
Mary Goodman, æt. 50, nurse. Admitted on 4th day of disease: has been in a state of constant intoxication for several days past; has had much pain of head, which is now nearly gone; mind confused; eyes injected; abdomen tender; bowels purged; tongue brown and dry in middle; white at edges; tremulous; pulse 120; skin hot. Died next morning.
Head. Sinuses of dura mater turgid with blood; vessels of pia mater greatly congested; an ounce and a half of serum at the base of the skull. Theca vertebralis highly vascular; great congestion of vertebral veins; some effusion of serum at cauda equina. Thorax. Healthy. Abdomen. Mucous membrane of small intestines vascular; [liver greatly enlarged.]
Case XXVI.
John Eyles, æt. 25, servant. Admitted on the 10th day of scarlet fever. Throat sore; deglutition painful; eruption fading; no pain of head, chest, or abdomen; tongue red and glazed; lips and teeth sordid; bowels purged; pulse 129.
11th. Voice hoarse; pulse 120; not the slightest pain of head.
14th. Numerous ash-coloured crusts scattered over the internal fauces; countenance anxious; respiration hurried; pulse 108. Died next morning.
Head. Arachnoid thick, opake, and unusually firm, with slight effusion beneath it; substance both of cerebrum and cerebellum highly vascular; pituitary gland enlarged and beginning to suppurate. Thorax. Larynx inflamed, covered with superficial circular ulcers; tongue aphthous; mouths of ducts on the surface of the amygdalæ ulcerated. Abdomen. Mucous membrane of ilium and cæcum highly vascular, not ulcerated; vessels of all the organs exceedingly turgid with blood.