348 VENOMS 



swollen, and the swelling extended above the ankle-joint. The 

 knee reflexes were very exaggerated, and the boy was somewhat 

 drowsy. Since he was gradually getting worse, I decided to inject 

 5 c.c. of Calmette's antivenene. I got the hospital assistant under 

 my supervision to inject it into the right calf, to cauterise the bite 

 with silver nitrate, and to apply a 1 in 40 carbolic poultice. Very 

 soon (fifteen minutes) after this the pain in the thigh, which had 

 reached to the right groin, began to disappear. During the night 

 the patient was very sleepy, and the attendants had great difficulty 

 in keeping him awake. 



" March 12. — This morning the patient is much better ; there 

 is still considerable swelling of the foot, but the pain is much less. 

 All other symptoms are gone." 



XXVIII. — Case reported by Surgeon - Captain Sutherland 

 I.M.S., Saugor, C.P., India. 



Case of a woman bitten on the finger on July 22, 1898, by 

 an Echis carinata. Treated six hours later with 10 c.c. of serum. 

 Recovery. 



I.— Cerastes. 



XXIX. — Case reported by Dr. Moudon, of Konakry, French 

 Guinea. 



" On December 9, 1898, a Foulah woman, eight months preg- 

 nant, was collecting wood when she was bitten in the heel, behind 

 the internal malleolus of the right foot, by a snake which, from the 

 description given, must have been a Horned Viper. When I saw 

 her, four hours after the accident, the whole of the lower leg was 

 swollen and painful. The swelling extended to the groin, and the 

 patient complained of vertigo and nausea. I immediately gave her 

 an injection of 10 c.c. of antivenomous serum in the right flank, 

 followed by a second injection at 10 p.m. Ten days later, with the 

 Commandant of the Fulton, I saw her again at her village ; she 

 had no symptom of malaise, and the pregnancy was taking its 

 normal course." 



