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CASE I

XVII. In Thasos the Parian who lay sick beyond the temple of Artemis was seized with acute fever, which at the beginning was continuous and ardent. Thirst. At the beginning coma followed by sleeplessness. Bowels disordered at the beginning ; urine thin.

Sixth day. Oily urine ; delirium.

Seventh day. General exacerbation ; no sleep ;

[p. 259] urine similar and mind disordered ; stools bilious and fatty.

Eighth day. Slight epistaxis ; vomited scanty matters of the colour of verdigris ; snatches of sleep.

Ninth day. Same symptoms.

Tenth day. General improvement.

Eleventh day. Sweated all over ; grew chilly, but quickly recovered heat.

Fourteenth day. Acute fever ; stools bilious, thin, copious ; substance floating in urine ; delirium.

Seventeenth day. In pain ; no sleep, while the fever grew worse.

Twentieth day. Sweated all over ; no fever ; stools bilious ; aversion to food ; coma.

Twenty-fourth day. Relapse.

Thirty-fourth day. No fever ; no constipation ; recovered heat.

Fortieth day. No fever ; bowels constipated for a short time ; aversion to food ; became slightly feverish again, throughout irregularly, the fever being sometimes absent, sometimes present ; for if the fever intermitted and was alleviated there was a relapse soon afterwards. He took little bits of food, and that of an unsuitable sort. Sleep bad ; delirium at the relapses. Urine at these times had consistency, but was troubled and bad. Bowels constipated, but afterwards relaxed. Continuous slight fevers. Stools thin and copious.

Hundred and twentieth day. Death.

In this case the bowels continuously from the first day loose with bilious, loose, copious stools, or

[p. 261] constipated with hot,1 undigested stools. Urine throughout bad ; mostly comatose ; painful sleeplessness ;2 continued aversion to food.

1 Lit. "seething" or "boiling." The reference is possibly not so much to heat as to the steaming, frothy nature of the stools.

2 The meaning apparently is that the patient was generally in a state of coma ; if not comatose, he was in pain and could not sleep.

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