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 Hchis 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.” 
