Case 2
Silenus lived on the Broad-way, near the house of Evalcidas.
From fatigue, drinking, and unseasonable exercises, he was seized
with fever. He began with having pain in the loins; he had heaviness
of the head, and there was stiffness of the neck. On the first day
the alvine discharges were bilious, unmixed,
[p. 115]frothy, high colored,
and copious; urine black, having a black sediment; he was thirsty,
tongue dry; no sleep at night. On the second, acute fever, stools
more copious, thinner, frothy; urine black, an uncomfortable night,
slight delirium. On the third, all the symptoms exacerbated; an oblong
distention, of a softish nature, from both sides of the hypochondrium
to the navel; stools thin, and darkish; urine muddy, and darkish;
no sleep at night; much talking, laughter, singing, he could not restrain
himself. On the fourth, in the same state. On the fifth, stools bilious,
unmixed, smooth, greasy; urine thin, and transparent; slight absence
of delirium. On the sixth, slight perspiration about the head; extremities
cold and livid; much tossing about; no passage from the bowels, urine
suppressed, acute fever. On the seventh, loss of speech; extremities
could no longer be kept warm; no discharge of urine. On the eighth,
a cold sweat all over; red rashes with sweat, of a round figure, small,
like vari, persistent, not subsiding; by means of a slight stimulus,
a copious discharge from the bowels, of a thin and undigested character,
with pain; urine acrid, and passed with pain; extremities slightly
heated; sleep slight, and comatose; speechless; urine thin, and transparent.
On the ninth, in the same state. On the tenth, no drink taken; comatose,
sleep slight; alvine discharges the same; urine abundant, and thickish;
when allowed to stand, the sediment farinaceous and white; extremities
again cold. On the eleventh, he died. At the commencement, and throughout,
the respiration was slow and large; there was a constant throbbing
in the hypochondrium; his age was about twenty.
