Case 14
In Cyzicus, a woman who had brought forth twin daughters,
after a difficult labor, and in whom the lochial discharge was insufficient,
at first was seized with an acute fever, attended with chills; heaviness
of the head and neck, with pain; insomnolency from the commencement;
she was silent, sullen, and disobedient; urine thin, and devoid of
color; thirst, nausea for the most part; bowels irregularly disordered,
and again constipated. On the sixth, towards night, talked much incoherently;
had no sleep. About the eleventh day was seized with wild delirium,
and again became collected; urine black, thin, and again deficient,
and of an oily appearance; copious, thin, and disordered evacuations
from the bowels. On the fourteenth, frequent convulsions;extremities
cold; not in anywise collected; suppression of urine. On the sixteenth
loss of speech. On the seventeenth, she died. Phrenitis.
Explanation of the characters. It is probable that death was caused,
on the seventeenth day, by the affection of the brain consequent upon
her accouchement.