Case LIII.
Mary Sullivan, æt. 40, married, admitted on the 15th day of fever. Some pain of chest; severe cough; much pain of head, with sense of noise; mind dull; scarcely any sleep; face flushed; skin warm; tongue foul and dry; pulse 98.
16th. Frequent short cough, without expectoration; mind confused, yet sensible when spoken to; pulse 90.
17th. Thoracic and cerebral symptoms unchanged; pulse 111, indistinct.
26th. Cough diminished; sensibility increased; she appeared in all respects better until this day, when the cough became more frequent and the expectoration purulent; pulse 60.
27th. Cough frequent; expectoration the same; respiration short and hurried; pulse 60, intermittent.
30th. Respiration became more and more hurried, and the strength rapidly sunk. Died.
Thorax. Mucous membrane of bronchi inflamed; bronchial tubes full of mucus, mixed with pus; [pleuræ adherent; patches of left lung hepatized.] Abdomen. Liver and spleen extremely softened, breaking down under the fingers into a mass like coagulated blood. Head. Membranes and substance of brain pretty healthy.
Case LIV.
Sarah Peach, æt. 23, married, admitted on the 17th day of fever. Thoracic symptoms came on with the very commencement of the disease: at present there is no pain of the chest, but much cough; respiration short and hurried; colour of the face quite dusky; some pain of head; mind confused; pulse 100; abdomen not tender; tongue of beefsteak character; bowels regular.