Case 13
Apollonius, in Abdera, bore up (under the fever?) for some
time, without betaking himself to bed. His viscera were enlarged,
and for a considerable time there was a constant pain about the liver,
and then he became affected with jaundice; he was flatulent, and of
a whitish complexion. Having eaten beef, and drunk unseasonably, he
became a little heated at first, and betook himself to bed, and having
used large quantities of milk, that of goats and sheep, and both boiled
and raw, with a bad diet otherwise, great mischief was occasioned
by all these things; for the fever was exacerbated, and of the food
taken scarcely any portion worth mentioning was passed from the bowels;
the urine was thin and scanty; no sleep; troublesome
[p. 143]meteorism; much
thirst; disposition to coma; painful swelling of the right hypochondrium;
extremities altogether coldish; slight incoherence, forgetfulness
of everything he said; he was beside himself. About the fourteenth
day after he betook himself to bed, had a rigor, became heated, and
was seized with furious delirium; loud cries, much talking, again
composed, and then coma came on; afterwards the bowels disordered,
with copious, bilious, unmixed, and undigested stools; urine black,
scanty, and thin; much restlessness; alvine evacuations of varied
characters, either black, scanty, and verdigris-green, or fatty, undigested,
and acrid; and at times the dejections resembled milk. About the twenty-fourth,
enjoyed a calm; other matters in the same state; became somewhat collected;
remembered nothing that had happened since he was confined to bed;
immediately afterwards became delirious; every symptom rapidly getting
worn. About the thirtieth, acute fever; stools copious and thin; was
delirious; extremities cold; loss of speech. On the thirty-fourth
he died. In this case, as far as I saw, the bowels were disordered;
urine thin and black; disposition to coma; insomnolency; extremities
cold; delirious throughout. Phrenitis.
