342 VENOMS 
“On Tuesday, June 1, about 11 o’clock, Dr. Moreau gave a 
second injection of 20 c.c. Considering the condition of the patient, 
we hardly hoped for a successful result. To our great surprise, 
however, the patient regained consciousness about 3 p.m., and the 
improvement progressed rapidly.” 
XXII.—Case recorded by Dr. Thuau, of Baugé (Anjou médical, 
September, 1897). . 
“X., a young man of Volandry, a parish 10 kilometres from 
Baugé, was bitten in the heel at 10 a.m. on the 6th of last August, 
by an aspic, about 50 cm. in length, while engaged in harvest- 
ing. He at once had himself taken to Bauge, knowing that 
there was an antivenomous serum dispensary there, and about noon 
he arrived at the house of my confrère and friend Dr. Boell. The 
latter, in view of the grave symptoms exhibited by the patient 
(nausea, vertigo almost amounting to syncope, pain in the chest, 
profuse sweating, &c.), gave him, with all the customary precau- 
tions, a first injection of 10 c.c. of Calmette’s serum in the flank. 
After about half an hour, since the alarming symptoms did not 
appear to diminish, he did not hesitate to give a second injection of 
10 c.c., and then had him sent to the Baugé Civil Hospital, where 
he came under my care about 3 p.m. I then found that this 
young man had been bitten in the left foot, a little below the 
external malleolus, midway between the latter and the plantar 
margin. The snake’s fangs had penetrated rather deeply; the two 
little wounds were about a centimetre apart. About this time 
the patient experienced great relief, and his general condition 
continued rapidly to improve. The axillary temperature was 
37°8° C. 
“Locally the patient complained of somewhat acute pain in the 
entire foot; the latter was purple and greatly swollen, and the 
swelling had affected the whole of the lower leg and extended to 
a little above the knee. I made a slight incision in the region of 
the two wounds caused by the bite, made the place bleed a little, 
and washed it with a solution of permanganate of potash, advising 
