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.
