166 



CASE III. — A third soldier (D. L. P.) twenty years of age, and six 

 months in Havana, was inoculated on the 31st of July, 1881, with a 

 mosquito which had bitten, two days before, a fatal case of yellow fever 

 in the third day of the disease. On the 5th of August (five days after the 

 inoculation) the soldier came to my office, presenting temp. 39.6°, and 

 pulse 110. He was at once sent to the Military Hospital, where the 

 following clinical record was taken: 



1st day. August 5. Evening: Temp. 103.2° F. ; pulse 112; intense 

 headache; slight epigastralgia ; flushed countenance; intense thirst. 

 Treatment : Malerianate of quinine two grammes in twenty pills ; mustard 

 plasters to the extremities ; cold applications to the forehead. 



2d day. Morning: Temp. 100.7° P.; pulse 72; resp. 28; the pains 

 have lessened; some nausea; subicteric tint; urine pretty abundant, 

 contains no albumen. Evening: Temp. 101.8° P.; pulse 88. Night: Temp. 

 100.7° F.; pulse 82; insomnia. 



3d. day. Morning: Temp. 99.6° F. ; pulse 76; perspiration; no pains. 

 Evening. Temp. 100° F. ; pulse 80; restlessness. 



4th day. Apyrexia. 



The diagnosis, as stated in the clinical report, was "abortive yellow 

 fever. ' ' 



The following year (1882) my attention was principally devoted to 

 the observation of mild forms of yellow fever, in order to collect reliable 

 data available for the appreciation of my experimental cases. In 1883, 

 however, I resumed my experiments, obtaining three successful inoculations, 

 one of which (Case V.) is particulary worthy of notice. 



CASE IV. — A Spaniard (J. B.) employed as a servingman to my 

 friend Dr. Delgado, twenty-five years of age, nine months in Havana, 

 having never been ill since his arrival, was inoculated on the 22d of June, 

 1883, by two mosquitoes, which had both bitten, two days before, a fatal 

 case of yellow fever in the sixth day of his illness. 



July 9th (seventeen days after the double inoculation), J. B. was 

 taken ill with symptoms of yellow fever. The following morning an emetic 

 was administered, followed by a dose of castor oil ; no other medicine being 

 given in the course of the illness, and absolute diet maintained until the 

 sixth day, only water being allowed. 



2d day. Morning: Temp. 101.3° F. ; pulse 80; face flushed; pains in 

 the loins. Evening : Temp. 101:8° F. 



3d day. Morning: Temp. 100.4° F. ; pulse 70; no albumen in the 

 urine. Evening: Temp. 101.8° F. ; face less flushed; straw color of the 

 conjunctiva ; intense thirst ; anorexia. 



4th day. Morning: Temp. 99.5° F. ; pulse 68; no albumen. Evening: 

 Temp. 101.3° F. ; pulse 70. 



