Case 2
In Thasus, the woman who lodged near the Cold Water, on the
third day after delivery of a daughter, the lochial discharge not
taking place, was seized with acute fever, accompanied with rigors.
But a considerable time before delivery she was feverish, confined
to bed, and loathed her food. After the rigor which took place, continual
and acute fevers, with rigors. On the eighth and following days, was
very incoherent, and immediately afterwards became collected; bowels
disordered, with copious, thin, watery, and bilious stools; no thirst.
On the eleventh was collected, but disposed to coma; urine copious,
thin, and black; no sleep. On the twentieth, slight chills, and immediately
afterwards was warm; slight incoherence; no sleep; with regard to
the bowels, in the same condition; urine watery, and copious. On the
twenty-seventh, free from fever; bowels constipated; not long afterwards
violent pain of the right hip-joint for a considerable time; fevers
afterwards supervened; urine watery. On the fortieth, complaints about
the hip-joint better; continued coughs, with copious, watery sputa;
bowels constipated; aversion to food; urine the same; fever not leaving
[p. 137]
her entirely, but having paroxysms in an irregular form, sometimes
present, sometimes not. On the sixtieth, the coughs left her without
a crisis, for no concoction of the sputa took place, nor any of the
usual abscesses; jaw on the right side convulsively retracted; comatose,
was again incoherent, and immediately became collected; utter aversion
to food; the jaw became relaxed; alvine discharges small, and bilious;
fever more acute, affected with rigors; on the following days lost
her speech, and again became collected, and talked. On the eightieth
she died. In this case the urine throughout was black, thin, and watery;
coma supervened; there was aversion to food, despondency,
and insomnolency; irritability, restlessness; she was of a melancholic
turn of mind.
Explanation of the characters. It is probable that the suppression of the lochial discharge caused death on the day.