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CASE IV

In Thasos the wife of Philinus gave birth to a daughter. The lochial discharge was normal, and the mother was doing well when on the fourteenth day after delivery she was seized with fever attended with rigor. At first she suffered in the stomach and the right hypochondrium. Pains in the genital organs. The discharge ceased. By a pessary these troubles were eased, but pains persisted in the head, neck and loins. No sleep ; extremities cold ; thirst ; bowels burnt ; scanty stools ; urine thin, and at first colourless.

Sixth day. Much delirium at night, followed by recovery of reason.

Seventh day. Thirst ; stools scanty, bilious, highly coloured.

Eighth day. Rigor ; acute fever ; many painful convulsions ; much delirium. The application of a suppository made her keep going to stool, and there were copious motions with a bilious flux. No sleep.

Ninth day. Convulsions.

Tenth day. Lucid intervals.

Eleventh day. Slept ; complete recovery of her memory, followed quickly by renewed delirium.

[p. 195] A copious passing of urine with convulsions--her attendants seldom reminding her--which was white and thick, like urine with a sediment and then shaken ; it stood for a long time without forming a sediment ; colour and consistency like that of the urine of cattle. Such was the nature of the urine that I myself saw.

About the fourteenth day there were twitchings over all the body ; much wandering, with lucid intervals followed quickly by renewed delirium. About the seventeenth day she became speechless.

Twentieth day. Death.

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