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.