344 VENOMS 
“T 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. 
“T 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 slight 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-Étienne (Loire). 
“Claude L., aged 8, living at Ricamarie, 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 cedema, 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 cedema, including fingers, hand, entire 
right arm, cervical region on the same side, and the anterior 
