| FIG. 24. |
|
PART I., showing the temperature curve from
December 12th to 31st, inclusive, during which time the more
characteristic typhoid symptoms predominated. |
| PART II., showing the temperature curve in same case from January 1st to 20th, inclusive, during which the influence of the associated malarial poison was prominent. |
Dec. 13th, tenderness and gurgling in ileo-cæcal region; epistaxis; rose spots on abdomen; deafness and ataxia; no stools since 11th. Ordered
| Rx. | Acid. Sulphuric. dil., | |
| Syr. Aurantii Cort. aa. | fl. drachm ij; | |
| Tinct. Cinchonæ Co. | fl. oz. j. M. |
S. Teaspoonful in water every four hours.
Also ordered beef-essence, milk-punch, and milk.
Dec. 13th, two very offensive liquid stools; ataxia greater; skin yellow and countenance dull and listless. Dec. 14th, fresh rose spots; tongue brown and dry; three stools; much jactitation. Dec. 15th, more ataxia; some delirium; pulse 100, weak. Gave gr. iiss quinia in solution, with tincture opium gtt. iii, every two hours. Dec. 16th, pulse 128, weak; delirious. Dec. 17, new rose spots; belly tympanitic; tongue brown, dry; sordes on teeth and lips; eyes injected; very delirious. Treatment continued; nutrition and stimulants given methodically. From 17th to 22d but little change in condition or treatment. Diet and stimulants administered regularly. Dec. 22d, coma vigil; completely delirious. Ordered
| Rx. | Liq. Morphiæ Sulph., | |
| Tinct. Digitalis aa. | fl. drachm iij; | |
| Spts. Æther. Nitrosi | fl. drachm ij; | |
| Liq. Potass. Citrat. | fl. oz. iij. M. |
S. Tablespoonful every three hours.
As the oscillations of temperature became more marked, quinia was resorted to, apparently with good effect. The patient was discharged from the hospital Feb. 8, 1882.