CASE XIII
A woman lying sick by the shore, who was three
months gone with child, was seized with fever, and
immediately began to feel pains in the loins.
Third day. Pain in the neck and in the head,
and in the region of the right collar-bone. Quickly
she lost her power of speech, the right arm was
paralyzed, with a convulsion, after the manner of
a stroke ; completely delirious. An uncomfortable
night, without sleep ; bowels disordered with bilious,
unmixed, scanty stools.
Fourth day. Her speech was recovered, but was
indistinct ; convulsions ; pains of the same parts
remained ; painful swelling in the hypochondrium ;
no sleep ; utter delirium ; bowels disordered ; urine
thin, and not of good colour.
Fifth day. Acute fever ; pain in the hypochondrium ;
utter delirium ; bilious stools. At night
sweated ; was without fever.
Sixth day. Rational ; general relief, but pain
remained about the left collar-bone ; thirst ; urine
thin ; no sleep.
Seventh day. Trembling ; some coma ; slight
delirium ; pains in the region of the collar-bone
and left upper arm remained ; other symptoms
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relieved ; quite rational. For three days there
was an intermission of fever.
Eleventh day. Relapse ; rigor ; attack of fever.
But about the fourteenth day the patient vomited
bilious, yellow matter fairly frequently ; sweated ;
a crisis took off the fever.