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CASE XII

A woman who lay sick by the Liars' Market, after giving birth in a first and painful delivery to a male child, was seized with fever. From the very first there was thirst, nausea, slight pain at the stomach, dry tongue, bowels disordered with thin and scanty discharges, no sleep.

Second day. Slight rigor ; acute fever ; slight, cold sweating around the head.

Third day. In pain ; crude, thin, copious discharges from the bowels.

Fourth day. Rigor ; general exacerbation ; sleepless.

Fifth day. In pain.

Sixth day. The same symptoms ; copious, fluid discharges from the bowels.

Seventh day. Rigor ; acute fever ; thirst ; much tossing ; towards evening cold sweat all over ; chill ; extremities cold, and would not be warmed. At night she again had a rigor ; the extremities would not be warmed ; no sleep ; slight delirium, but quickly was rational again.

Eighth day. About mid-day recovered her heat ; thirst ; coma ; nausea ; vomited bilious, scanty, yellowish matters. An uncomfortable night ; no sleep ; unconsciously passed a copious discharge of urine.

[p. 239] Ninth day. General abatement of the symptoms ; coma. Towards evening slight rigor ; vomited scanty, bilious matters.

Tenth day. Rigor ; exacerbation of the fever ; no sleep whatsoever. In the early morning a copious discharge of urine without sediment ; extremities were warmed.

Eleventh day. Vomited bilious matters, of the colour of verdigris. A rigor shortly afterwards, and the extremities became cold again ; in the evening sweat, rigor and copious vomiting ; a painful night.

Twelfth day. Vomited copious, black, fetid matters ; much hiccoughing ; painful thirst.

Thirteenth day. Vomited black, fetid, copious matters ; rigor. About mid-day lost her speech.

Fourteenth day. Epistaxis ; death.

The bowels of this patient were throughout loose, and there were shivering fits. Age about seventeen.

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