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CASE II

In Thasos the woman who lay sick by the Cold Water, on the third day after giving birth to a daughter without lochial discharge, was seized with acute fever accompanied by shivering. For a long time before her delivery she had suffered from fever, being confined to bed and averse to food. After the rigor that took place, the fevers were continuous, acute, and attended with shivering.

Eighth and following days. Much delirium, quickly followed by recovery of reason ; bowels disturbed with copious, thin, watery and bilious stools ; no thirst.

Eleventh day. Was rational, but comatose. Urine copious, thin and black ; no sleep.

Twentieth day. Slight chills,1 but heat quickly recovered ; slight wandering ; no sleep ; bowels the same ; urine watery and copious.

Twenty-seventh day. No fever ; bowels constipated ; not long afterwards severe pain in the right hip for a long time. Fevers again attended ; urine watery.

Fortieth day. Pain in the hip relieved ; continuous coughing, with watery, copious sputa ; bowels constipated ; aversion to food ; urine the same. The fevers, without entirely intermitting, were exacerbated

[p. 263] irregularly, sometimes increasing and sometimes not doing so.

Sixtieth day. The coughing ceased without any critical sign ; there was no coction of the sputa, nor any of the usual abscessions ; jaw on the right side convulsed ; comatose ; wandering, but reason quickly recovered ; desperately averse to food ; jaw relaxed ; passed small, bilious stools ; fever grew more acute, with shivering. On the succeeding days she lost power of speech, but would afterwards converse.

Eightieth day. Death.

The urine of this patient was throughout black, thin and watery. Coma was present, aversion to food, despondency, sleeplessness, irritability, restlessness, the mind being affected by melancholy.2

1 This sentence shows that περί in περιψύχω means not "very," but "all over." The phrase may mean "slight chilliness."

2 For "melancholy" see General Introduction, p. lviii.

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