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CASE VI

Cleanactides, who lay sick above the temple of Heracles, was seized by an irregular fever. He had

[p. 199] at the beginning pains in the head and the left side, and in the other parts pains like those caused by fatigue. The exacerbations of the fever were varied and irregular ; sometimes there were sweats, sometimes there were not. Generally the exacerbations manifested themselves most on the critical days.

About the twenty-fourth day. Pain in the hands ; bilious, yellow vomits, fairly frequent, becoming after a while like verdigris ; general relief.

About the thirtieth day. Epistaxis from both nostrils began, and continued, irregular and slight, until the crisis. All the time he suffered no thirst, nor lack of appetite or sleep. Urine thin, and not colourless.

About the fortieth day. Urine reddish, and with an abundant, red deposit. Was eased. Afterwards the urine varied, sometimes having, sometimes not having, a sediment.

Sixtieth day. Urine had an abundant sediment, white and smooth ; general improvement ; fever intermitted ; urine again thin but of good colour.

Seventieth day. Fever, which intermitted for ten days.

Eightieth day. Rigor ; attacked by acute fever ; much sweat ; in the urine a red, smooth sediment. A complete crisis.

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