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CASE X

The man of Clazomenae, who lay sick by the well of Phrynichides, was seized with fever. Pain at the beginning in head, neck and loins, followed immediately by deafness. No sleep ; seized with acute fever ; hypochondrium swollen, but not very much ; distension ; tongue dry.

Fourth day. Delirium at night.

Fifth day. Painful.

Sixth day. All symptoms exacerbated.

About the eleventh day slight improvement. From the beginning to the fourteenth day there were from the bowels thin discharges, copious, of a watery biliousness ; they were well supported by the patient. Then the bowels were constipated. Urine throughout thin, but of good colour. It had much cloud spread through it, which did not settle in a sediment. About the sixteenth day the urine was a little thicker, and had a slight sediment.

[p. 205] The patient became a little easier, and was more rational.

Seventeenth day. Urine thin again ; painful swellings by both ears. No sleep ; wandering ; pain in the legs.

Twentieth day. A crisis left the patient free from fever ; no sweating ; quite rational. About the twenty-seventh day violent pain in the right hip, which quickly ceased. The swellings by the ears neither subsided nor suppurated, but continued painful. About the thirty-first day diarrhéa with copious, watery discharges and signs of dysentery. Urine thick ; the swellings by the ears subsided.

Fortieth day. Pain in the right eye ; sight rather impaired ; recovery.

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