Case LXXII.
Elizabeth Gore, æt. 24, servant. Admitted on 22d day of fever: attack commenced with ordinary symptoms, accompanied with sense of nausea and some vomiting. At present abdomen not tender; tongue red, moist; lips and teeth sordid; bowels bound; pain of head gone; that of loins remains; deafness; no uneasiness of chest; much cough; skin dusky; pulse 120, weak and intermittent.
23d. Abdomen tender; four stools, dark; some pain of head; delirium; pulse the same.
26th. Stools in bed; no sleep; delirium; respiration hurried and noisy; cheek dusky; extremities cold.
27th. Deglutition difficult; pulse 128. Died next morning.
Abdomen. Mucous membrane of ilium ulcerated; mesenteric gland excessively enlarged. Head. Membrane and substance of the brain natural; much effusion into the ventricles, and at the base of the skull. Thorax. Viscera of the thorax in other respects perfectly healthy.
Case LXXIII.
Ann Kensit, æt. 20, servant. Admitted on the 8th day of relapse: perfectly insensible; cannot be roused; no sensation on firmest pressure over the abdomen; pupils natural; tongue brown and dry; bowels loose; pulse 124.
9th. Some uneasiness induced by firm pressure over the abdomen, which has become swollen, tense, and tympanitic; tongue not to be protruded; lips and teeth sordid; stools in bed; respiration slow and laborious; face cadaverous; extremities blue.
11th. No change; has never spoken nor shown any degree of sensibility since admission.