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391 MEDICAL PAPER 



on firft. One child, liov/ever, lived under thefe circum- 

 ftances to the eighth day; and the day before he died^ his 

 breath and what he expedorated, was fomewhat offcufive; 

 but this w^as the only inilance in vv-hich I could difcover 

 any thing like a difagreeable fmell, either from the breath 

 or expeftoration. 



Out of fixteen cafes attended wnth this remarkable fuf- 

 focation in breathing, feven died; five of them before the 

 fifth day, the other two about the eighth. Of thofe who 

 recovered, the difeafe was carried off in one, by a plenti- 

 ful fallivation, which began on the fi;^th day; in moft of 

 the others by an expedoration of a y[fcid mucus, 



I diftinguifli between the fallivation and expedoration, 

 becaufe in one the difcharge feeraed to come from the fall- 



vary glands, and was attended with litde or no cough 

 the others it manlfeftly came from the trachea, and vv^as at 



in 



.-flsywii*.**,*'^- 



tended with an incefFaat cough; and 1 judged the falava- 

 tion to have been a natural crifis, as the patient had taken 

 but grs, vi of calomel before it came on. Her gums were 



-i; 





not inflamed, her teeth were not loofe, nor had her breath, 

 or faliva, the fmell of perfons under a mercurial falivation* 

 In this cafe the voice, in the fpace of a few hours, from 

 being pretty ftrong and loud, became fo low as to be with 



difficulty heard. 



One of the firft families in which this difeafe appeared 



was that of Mr. William W " " '* " " " / 

 feven children in his family, all of whom were taken ill 

 one after another; the four firfl had the difeafe as I have 

 juft now defcribecl, and three of thefe died; the one who 

 recovered was the inftance I mcntioneds in which the dif« 

 eafe was carried off by a fallivation. The other three 



i] ■■ 



He had 



were the young 



They had not the difliculty of breath- 



ing, but in its flcad very troublcfame, ulcers behiiid their 

 ears. Thefe began with a few red pimples, which foou 

 ran together, itched violently, and difcharged a great deal 

 of very fliarp ichor, fo as to erode the neighboarlng parts, 

 and in a few days fprcad all over the back part ot the ear, 

 and down upon the neck. They al! had a fever, particu- 

 larly 



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