Abdomen. Mucous membrane of small intestines in general inflamed; lower part of ilium extremely ulcerated. Head. Both dura and pia mater vascular; arachnoid opake; much serum effused between the membranes. Thorax. [Pluræ of both sides adherent; left lung inflamed;] right lung healthy; other viscera healthy.
Case LXXVI.
Mary M’Gowan, æt. 18, servant. Admitted on the 8th day of fever; attack commenced with usual symptoms; at present, abdomen tender; tongue thickly coated and dry; lips and teeth sordid; much thirst; bowels purged; stools dark and offensive; pain of head which has been severe from the beginning continues, and is most severe over the fore-part; pulse 116, weak.
9th. Abdomen and tongue the same; pain of head unabated; eyes dull and heavy; right cheek deeply flushed; pulse 110. C. C. ad ℥x. temporibus.
10th. Abdominal symptoms unchanged; pain of head relieved, but not gone; pulse 132, weak.
11th. Tongue cleaning; quite moist; three stools; very slight pain of head; delirium; pulse 120, weak.
12th. Pain of head quite gone; but there is no other change.
13th. No sleep; great restlessness; noisy delirium; pulse 126, weak; swelling, redness and pain of left parotid.
15th. Tongue has become brown and dry; and respiration difficult and rattling; face flushed; colour dusky; lies on back quite prostrate; pulse 136, weak; inflammation of left parotid subsided, but it has now attacked the right.
16th. Respiration hurried and noisy; skin in general dusky; cheeks extremely flushed and of deep purple colour; pulse scarcely to be counted; prostration extreme. Died next day.