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CASE XIV

In Cyzicus a woman gave birth with difficult labour to twin daughters, and the lochial discharge was far from good.

First day. Acute fever with shivering ; painful heaviness of head and neck. Sleepless from the first, but silent, sulky and refractory. Urine thin and of no colour ; thirsty ; nausea generally ; bowels irregularly disturbed with constipation following.

Sixth day. Much wandering at night ; no sleep.

[p. 283] About the eleventh day she went out of her mind and then was rational again ; urine black, thin, and then, after an interval, oily ; copious, thin, disordered stools.

Fourteenth day. Many convulsions ; extremities cold ; no further recovery of reason ; urine suppressed.

Sixteenth day. Speechless.

Seventeenth day. Death.

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