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CASE V

The wife of Epicrates, who lay sick near the founder,1 when near her delivery was seized with severe rigor without, it was said, becoming warm, and the same symptoms occurred on the following day. On the third day she gave birth to a daughter, and the delivery was in every respect normal. On the second day after the delivery she was seized with acute fever, pain at the stomach and in the genitals. A pessary relieved these symptoms, but there was pain in the head, neck and loins. No sleep. From the bowels passed scanty stools, bilious, thin and unmixed. Urine thin and blackish. Delirium on the night of the sixth day from the day the fever began.

Seventh day. All symptoms exacerbated ; sleeplessness ; delirium ; thirst ; bilious, highly-coloured stools.

Eighth day. Rigor ; more sleep.

Ninth day. The same symptoms.

[p. 197] Tenth day. Severe pains in the legs ; pain again at the stomach ; heaviness in the head ; no delirium ; more sleep ; constipation.

Eleventh day. Urine of better colour, with a thick deposit ; was easier.

Fourteenth day. Rigor ; acute fever.

Fifteenth day. Vomited fairly frequently bilious, yellow vomit ; sweated without fever ; at night, however, acute fever ; urine thick, with a white sediment.

Sixteenth day. Exacerbation ; an uncomfortable night ; no sleep ; delirium.

Eighteenth day. Thirst ; tongue parched ; no sleep ; much delirium ; pain in the legs.

About the twentieth day. Slight rigors in the early morning ; coma ; quiet sleep ; scanty, bilious, black vomits ; deafness at night.

About the twenty-first day. Heaviness all over the left side, with pain ; slight coughing ; urine thick, turbid, reddish, no sediment on standing. In other respects easier ; no fever. From the beginning she had pain in the throat ; redness ; uvula drawn back ; throughout there persisted an acrid flux, smarting, and salt.

About the twenty-seventh day. No fever ; sediment in urine ; some pain in the side.

About the thirty-first day. Attacked by fever ; bowels disordered and bilious.

Fortieth day. Scanty, bilious vomits.

Eightieth day. Complete crisis with cessation of fever.

1 I. e. near the statue of the founder of the city, or near the temple of the god who presided over the founding of the city.

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