Case LXIII.
Hannah Swift, æt. 20, servant. Admitted on the 8th day of fever: abdomen, especially the epigastric region, tender; tongue clean, red, chapped; lips parched and cracked; some pain of head, back, and limbs; mind rather confused; pulse 120, soft, and feeble.
9th. The abdomen, which continues tender, has become swollen and tense; two stools.
15th. Abdomen still very tender, swollen, and hard; tongue dry; two stools; vomiting of much green coloured fluid; pain of head gone, but sense of weight in it.
17th. Tenderness of abdomen and vomiting continue; delirium; pulse 100, small and feeble.
19th. Tenderness of abdomen increased; no vomiting; tongue the same; pain of head returned; delirium; erysipelas of face; pulse 109, feeble.
21st. Erysipelas extending to arm; tongue brown, dry, and cracked; much delirium.
22d. Cheeks livid; extremities cold and livid; pulse imperceptible. Died.
Abdomen. Mucous membrane of ilium highly inflamed, and ulcers just forming; other viscera healthy. Head. Dura mater vascular; arachnoid opake; substance of brain vascular; some fluid in ventricles. Thorax. Mucous membrane of bronchi inflamed: tubes filled with mucus mixed with pus: [pleuræ in part adherent; some serous fluid in both cavities; substance of lungs natural.]
Case LXIV.