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CASE V.-MULTIPLE BUBOES; DEATH.
P. D., Hindu female, act. 25 (ayah on duty in Hospital).
History.-Fever on 11th March 1898 with headache, vomiting,
restlessness, pain in calves of legs, and bubo in right axilla.
Condition on admission.-Temperature 1014, pulse 98, respira-
tion 30, tongue furred, eyes injected, thick speech, drowsiness, only
partial consciousness, and bubo under border of right pectoralis major.
Course.-Temperature on 12th March 1898, 101, pulse 98,
respiration 30, tongue furred, eyes injected, and on 13th March 1898,
temperature fell to 97 at 6 a.m., with cold surface and extremities;
on 14th March 1898 temperature rose to 101, surface still cold, bowels
much relaxed, speech more indistinct. On 15th March 1898 a bubo
appeared in the right posterior triangle of the neck; on 16th March
1898 the temperature rose to 103 surface still cold, low muttering
delirium, feeble thready pulse, respiration hurried and shallow.
A third bubo appeared under the chin and on 17th March 1898 she
became much worse, and one bubo appeared in each groin. She
gradually sank and died at noon of that day.
Treatment.-During first 36 hours she received 2 drachms a day, in
four-hourly doses, of Liquor Ferri Perchlor. On the first day diapho-
retics with Rum, Quinine and Strychnine, but after the second day these
were omitted, and a stimulant mixture containing Tinct. Nuc. Vomic.,
Spirit Aether and Ammonia was substituted.
CASE VI.-MILD FORM OF PLAGUE, COMPLICATED WITH GREAT MENTAL EXCITEMENT
DURING PERIOD OF ABATEMENT OF OTHER SYMPTOMS, RESOLUTION OF
BUBO WITH SUPPURATION.
O. R., Hindu female, aet. 40; admitted 2nd March 1898; fever and
swelling in the left groin having come on the same day.
Condition on admission.-Temperature 102, pulse 120, respiration
30; tongue thickly furred; left femoral bubo; constipation and head-
ache,
Course.-She progressed favourably, the temperature falling
to normal on 7th March 1898 and the tongue cleaning up. On the
forenoon of the 7th she became maniacal, violent, and unmanageable,
and had to be quieted by Morphia. On the following day she had the
same symptoms but less marked, and the condition remained much the
same with delusions until the 12th, when she became quite quiet and
rational, and from this date she commenced to convalesce, the bubo
getting gradually smaller. On 23rd March 1898 she was discharged
cured.