344 VENOMS 



" I did not see the patient for four days, when I was summoned 

 by telegram. I found that the child had fever, 39° C. Complete 

 tumefaction of the left leg, abdomen, and trunk, with ecchymosed 

 patches. Prescribed quinine. Arhythmia of pulse and heart. 

 Prescribed digitalis and Jaccoud's tonic. The febrile condition 

 was due to congestion of the base of the right lung. I ordered 

 cupping and sinapisms alternately. 



"I saw the child again two days later. The congestion still 

 continued. Temperature 39° C, but the general tumefaction 

 showed a tendency to diminish. 



''On July 4 I again saw the child. Now only shght oedema. 

 General condition very satisfactory. Temperature normal. The 

 child was making rapid strides towards recovery. The leg was 

 doing well, and the wound was almost healed. 



" Summary : A very serious bite and, above all, great delay in 

 injecting serum (injection not given until four hours after the 

 accident) ; unforeseen complications in the lung, by which recovery 

 was delayed." 



XXV. — Case reported by Mons. H. Moindrot, Assistant to Dr. 

 Martel, of Saint-Etienne (Loire). 



" Claude L., aged 8, living at Eicamarie, was brought, on May 26, 

 1904, to the Bellevue Hospital. The parents stated that about 10 

 o'clock the same morning, while playing near a stack of faggots, the 

 child was bitten by a snake in the third finger of the right hand. 

 Since the wound caused by the bite seemed to them of little import- 

 ance, they contented themselves with squeezing the injured finger in 

 order to make it bleed a little. A few moments later, however, the 

 child began to complain of a feeling of distension in the region 

 of the bite, caused by oedema, which soon increased to an alarming 

 extent. A doctor, who was called in, carefully washed the wound, 

 applied an aseptic dressing, and at once sent the little sufferer to the 

 Hospital. 



" On admission, enormous oedema, including fingers, hand, entire 

 right arm, cervical region on the same side, and the anterior 



