Case LXXI.
Richard Harvey, æt. 19, butcher. Admitted on the 8th day of disease; no account to be obtained of previous symptoms; at present abdomen tender; bowels purged; tongue brown and dry; lips and teeth sordid; pain of head gone; mind confused; delirium requiring restraint; subsultus; pulse 116, weak.
9th. Tenderness of abdomen continues; stools in bed; no sleep; much delirium; scarcely conscious when spoken to; pulse 108, more firm.
10th. Slept better; rather more sensible this morning; pulse again 116.
14th. All nourishment refused; stools and urine in bed; delirium; muscular tremor; pulse 128, weak; extremities cold.
15th. Passed a better night; more sensible; pulse 116.
17th. Extensive slough on sacrum; slough also on right elbow-joint, with erysipelas of surrounding integuments; pulse 108.
21st. Skin covered with petechiæ; slough extending; great prostration.
35th. No change, excepting that the sloughs were improved in appearance by the chlorate of lime, but the emaciation increased, the strength diminished, and all nourishment was refused excepting wine. Died following day.
Abdomen. Both small and large intestines vascular throughout; mucous membrane of ilium contained several ulcers of considerable magnitude; gall-bladder contained an ounce and half of serous fluid; spleen indurated; other viscera healthy. Head. Substance of brain vascular; effusion between the membranes; more fluid than natural in the ventricles and at base. Thorax. Bronchi natural; substance of right lung gorged with blood and infiltrated with serum; that of left healthy.