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A woman lying sick by the shore, who was three months gone with child, was seized with fever, and immediately began to feel pains in the loins.

Third day. Pain in the neck and in the head, and in the region of the right collar-bone. Quickly she lost her power of speech, the right arm was paralyzed, with a convulsion, after the manner of a stroke ; completely delirious. An uncomfortable night, without sleep ; bowels disordered with bilious, unmixed, scanty stools.

Fourth day. Her speech was recovered, but was indistinct ; convulsions ; pains of the same parts remained ; painful swelling in the hypochondrium ; no sleep ; utter delirium ; bowels disordered ; urine thin, and not of good colour.

Fifth day. Acute fever ; pain in the hypochondrium ; utter delirium ; bilious stools. At night sweated ; was without fever.

Sixth day. Rational ; general relief, but pain remained about the left collar-bone ; thirst ; urine thin ; no sleep.

Seventh day. Trembling ; some coma ; slight delirium ; pains in the region of the collar-bone and left upper arm remained ; other symptoms

[p. 211] relieved ; quite rational. For three days there was an intermission of fever.

Eleventh day. Relapse ; rigor ; attack of fever. But about the fourteenth day the patient vomited bilious, yellow matter fairly frequently ; sweated ; a crisis took off the fever.

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