230
52
Case XX--Chinese. Æt, 20.
Admitted 12th May, 1894. This was a case where the respiration was very hurried before death. On the 13th May his temperature was 105° F. His pulse was 112. His respirations were 66, cyanosis extreme, his face being perfectly livid. He died on the 14th May. A short time before death with respirations 82 and pulse imperceptible. When the respirations go above 40 without well marked lung conditions to cause greater rapidity of respiration, then generally expect death,
Case XXI--Chinese. t. 17.
Admitted 12th May, 1894, to the Government Civil Hospital with the diagnosis malarial fever. Treatment: antipyrin grs. x. every three hours if temperature above 103° F. and quinine grs, x, three times a day. On the 18th May although no bubo was apparent the case was diagnosed plague and he was removed to the Hygeia and on the following morning a cervical bubo appeared. The following was the temperature chart :--
MAY, 1894.
13
106-
14
15
16
17
18
19
20
105-
101-
103-
102-
101-
100-
99.
98-
[126
112
100
118
112
116
114
Pulse
128
90
120
112
118
32
B0
32
32
130
134
30
Resp.
30
32
36
30
32
32
21.
106-
105.
104.
103.
102-
101-1
100-
222
MAY, 1894.
23
24 125
99-
98-
and shows another case with a long period of pyrexia, but in this case, different from case No. XXIV, there was no lang complication. It will be noticed that the large doses of antipyrin given brought his temperature down almost six degrees in twenty-four hours, but at this stage he was very collapsed, and stimulants were ordered freely. Thinking over the case later, this collapse ought to have put one on the lookout for plague, as I have never seen a case of malarial fever collapse with the same amount of antipyrin; the doses given were, of course, very serious doses for a man suffering from plague. The bubo bere did not appear for a week and immediately it did appear the man's condition became worse.
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