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Philiscus lived by the wall. He took to his bed with acute fever on the first day and sweating ; night uncomfortable.

Second day. General exacerbation, later a small clyster moved the bowels well. A restful night.

Third day. Early and until mid-day he appeared to have lost the fever ; but towards evening acute fever with sweating ; thirst ; dry tongue ; black urine. An uncomfortable night, without sleep ; completely out of his mind.

Fourth day. All symptoms exacerbated ; black urine ; a more comfortable night, and urine of a better colour.

Fifth day. About mid-day slight epistaxis of unmixed blood. Urine varied, with scattered, round particles suspended in it, resembling semen ; they did not settle. On the application of a suppository the patient passed, with flatulence, scanty excreta. A distressing night, snatches of sleep, irrational talk ; extremities everywhere cold, and would not get warm again ; black urine ; snatches of sleep towards dawn ; speechless ; cold sweat ; extremities livid. About mid-day on the sixth day the patient died. The breathing throughout, as though he were recollecting to do it,1 was rare and large. Spleen raised in a round swelling ; cold sweats all the time. The exacerbations on even days.

1 The patient seemed to forget the necessity of breathing, and then to remember it and to breathe consciously.

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