DOCUMENTS 349 
XXX.—Case of a bite from a Horned Viper reported by Dr. 
Mons, in charge of the Military Hospital of Laghouat, Algeria. 
‘ Mohamed ben Naouri, a day labourer, aged 26, during the 
summer catches Horned Vipers, which he stuffs and sells. 
‘On August 3 a Cerastes, which he was holding down on the 
sand with a forked stick, disengaged itself and fastened on his 
hand. The snake was a large one, about 50 cm. in length. 
“The accident happened at 6.30 a.m., 6 kilometres from Lag- 
houat, and the man was bitten on the joint between the second 
and third phalanges of the third finger of the right hand. He 
applied a ligature to his wrist, and started to run as fast as he 
could towards the Military Hospital, where he arrived an hour 
later. 
“He was immediately given an injection of antivenomous serum, 
in accordance with the instructions, and, around the bite, five or 
six injections of permanganate of potash, 1 in 20. On the next 
and following days, tense cedema of the arm and left side of the 
chest. Extensive purplish ecchymosis of the inner face of the 
arm; no fever. The phenomena gradually diminished, and, on 
August 17, there was merely a trifling wound where the bite had 
been inflicted. The patient was discharged at his own request. 
‘Luke Dr. Marchand (des Montils), we can certify that the 
action of Calmette’s serum was rapid and efficacious. ‘The injection 
did not cause any pain or febrile reaction.” 
XXXI.—Case reported by Dr. Blin, of Dahomey. 
‘On March 5, 1906, native hospital attendant C., while gathering 
vegetables in the hospital garden, was bitten in the right hand 
by a Cerastes. The bite was inflicted in the tip of the index finger. 
Ten minutes later a ligature was applied to the base of the finger 
and another to the upper arm, and as soon as we saw the man, 
which was after the lapse of about an hour, he was given an 
injection of 10 c.c. of antivenomous serum. The patient com- 
plained of feeling cold and vomited. The axillary temperature 
was 361 C.; the pulse was weak, irregular, and rapid. The 
