15th. Abdomen tender, swollen, rounded at navel.
19th. More sensible; more tranquil sleep; delirium gone; pulse 110.
27th. No coma nor delirium; tranquil sleep; tongue moist, cleaning; pulse 108 feeble.
45th. Appeared upon the whole to be convalescing, but in an exceedingly slow and imperfect manner; there was a remarkable vacancy in her countenance, almost amounting to a fatuous expression; and her mind was peevish and childish. On this day she was seized suddenly with convulsions of extreme violence, and died within twenty-four hours after the attack.
Head. Arachnoid thickened and opake; effusion of gelatinous fluid beneath it; substance of brain highly vascular; in the inferior cornu of left ventricle a pint of purulent matter, somewhat resembling broken down cortical substance; it lay loose within the cavity. Thorax. Superior lobe of right lung gorged and partly hepatized. [Pleuræ of right side adherent;] Abdomen. Mucous membrane of cæcum and commencement of colon vascular.
Case XXXI.
Henry Brewer, æt. 59, labourer. Admitted on the 10th day of fever: states that he has no pain in the head, and that he is quite free from pain every where excepting in the right side, where he has some uneasiness, which is attended with slight cough; tongue brown and dry; bowels natural; pulse 96.
12th. No pain of head; that of chest gone; sleeps well; pulse 108.
16th. About an hour after yesterday’s visit became suddenly insensible; it has been impossible to rouse him from this coma which still continues profound; respiration stertorous. Died in the course of the day.
Head: Dura mater thickened but not vascular; arachnoid thickened and opake; beneath it gelatinous effusion; upon its external surface a large quantity of well-formed pus; a quantity of purulent matter at the base of the brain surrounding the corpora quadrigemina: walls of the fourth ventricle ragged; two ounces of serous fluid in lateral ventricles and at base. Thorax. [Pluræ adherent; lower and middle lobes of right lung hepatized.] Abdomen. Viscera healthy.