Sessional_Paper_1904 — Page 567

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Treatment.-As in J. H. case. every 2 hours.

Essential feature of it: Acid Carbolic gr. xii,

Femoral Bubo more marked, more tender, size of a large hen's

Diet improved.

10th June.

egg.

18th June.

Inguinal Bubo incised.

Femoral Bubo smaller and less tender.

20th June.

every 4 hours.

Digitalis and Strych, stopped. Acid Carbolic reduced to gr. xii, Solid food.

23rd June. No Plague Bacilli in blood or in discharge from Bubo. The Fem- oral Bubo resolved without suppuration. Inguinal Bubo healing. Acid Carbolic stopped.

25th June.

27th June.

A-

Hypophosphites as tonic.

Discharged from Hospital.

9

-J- -M- English, male. æt. 23. Government Official, admitted to Kennedy Town Hospital, on the 13th June, suffering from Plague.

Admitted to Government Civil Hospital on the 11th June, with fever, 102° F. 12th June. Temp. 105-8° F. Teuder swelling in Left Femoral region. Plagne Bacilli found in blood.

13th June. Transferred to Kennedy Town.

Treatment. As in J. H. case. Essential feature:-Acid Carbolic gr. xii, every 2 hours. Iced Compresses to control temperature.

16th June. Steady improvement; there has been no delirium. Bubo less tender. 17th June. Diet improved. Digitalis stopped.

23rd June. Solid food.

28th June. Bubo incised.

29th June. No Plague Bacilli in blood.

30th June. Acid Carbolic stopped. Syr. Ferri Phos, c. Quin. et Strych. as tonic.

6th June. Quite convalescent. Bubo healed.

H——K——, English, male, æt 33, Sanitary Inspector, admitted to Kennedy Town Hospital, on 6th June, suffering from Plague.

Illness began with fever 105° F. on the previous day.

At admission, Temp. 104° F. Delirium. No Bubo. Plague Bacilli in blood. Condition complicated by alcoholism.

Treatment.-Acid Carbolie gr. xii, in mixture, every 2 hours. Tinet. Digi- talis, m. vii and Liq. Strych. m. v, in mixture, every 4 hours. Brandy, 7 oz., in 24 hours, reduced to 4 oz. two days later. Liquid diet.

Liquid diet. Iced compresses to control temperature.

7th June.

Delirium severe.

Potass Bromid. gr. xxx, and chloral hydrat.

gr. xx, at night.

12th June. To-day for the first time able to be freed from shackles. Deli- rium has been violent day and night, but he is now quiet, though very weak.

18th June. Diet improved, allowed to sit up in bed.

23rd June. Acid Carbolic gr. xii, every 4 hours.

24th June. Temp. 100° F. Quin. Sulph., gr. v, thrice daily. 26th June. No Plague Bacilli in blood. Acid Carbolic stopped.

Syr. Ferri Phos. c. Quin, et Strych. as tonic.

6th July. Quite convalescent, but not yet fit to resume work.

In this case, a severe septic case, non-bubonic, over 2,500 grains of Carbolic Acid were given before the blood was free from Plague Bacilli.