3.30 OLD. 



the bed, seemed to be in great pain and expressed much anxiety as to his con- 

 dition. As stated above, his actions were looked upon as hysterical, for this was 

 the first ease of this nature seen here. 



The patient was given morphine sulphate, one-fourth grain by hypodermic injec- 

 tion; the local condition was treated with an alkaline solution and was relieved 

 in about half an hour. The next day he felt only a little weak, and otherwise 

 appeared well and reported for duty. 



No record of his temperature was kept; the pulse was of good force and the 

 rate slightly increased. 



Case 2. — V., a hospital attendant at Canacao, on June 21, 1907, while in 

 bathing off the hospital wharf was stung by a jellyfish. He said that he was 

 some distance from the landing and, as soon as he felt the sting, he turned back 

 to the wharf; that on his way he felt some pain across his back, but thought it 

 was due to swimming. On his way up from the wharf to the hospital he began 

 to feel badly and sat down for a little while. When be reached the hospital, about 

 thirty minutes after he had been stung, he became prostrated and had to be 

 carried to a bed. 



On arrival I found a slightly raised, vesiculated, red area over the left biceps 

 muscle. This "wept" like an eczema. The patient was throwing himself around 

 the bed and coughing almost incessantly, expectorating a thin mucus. He com- 

 plained of nausea but did not vomit. His face was congested and anxious. He 

 wept at intervals, a stream of tears flowing down his face. The nose was occluded 

 as in a bad case of coryza and from it a thin mucus was discharging. He com- 

 plained of pain in his head and of marked pain in the lumbar region. He expressed 

 much anxiety as to his condition and exclaimed now and then: "I don't know 

 why, but I've lost all my nerve." His temperature was 3S° C. (100°.2 F.) ; pulse 

 100, strong and full. The examination of urine and blood showed nothing 

 abnormal. 



Morphine sulphate one-sixth grain was given by hypodermic injection, an 

 alkaline solution was applied to the arm. The symptoms subsided shortly after 

 and in a few hours the temperature was normal and the pulse 60. The next 

 morning the patient felt weak and complained of a slight sore throat; the pharynx 

 was slightly inflamed. 



Case 3. — S., a hospital attendant on duty at Canacao 'on June 24, 1907, while 

 swimming oif the hospital wharf was struck by a jellyfish on the left side of his 

 chin. He felt the sting immediately, but had no general symptoms until fifteen 

 minutes later. Knowing the effect in the previous eases he came immediate!}' to 

 the hospital. 



There was a small, red-streaked area and a few vesicles on the side of his chin. 

 The symptoms began with sharp, Shooting pains throughout the body, but chiefly 

 across the posterior lumbar region. The patient felt nauseated, but did not vomit. 

 The same symptoms of congested mucous membranes, cough with thin mucoid 

 sputum and lachrymation, were present, but he was not hysterical. His tem- 

 perature was 37°.5 C. (99°.6F.). No treatment was given. The symptoms lasted 

 two hours. 



Case 4. — On the same day as that on which the previous case occurred, M., 

 a hospital attendant, was stung on the riglit forearm. A raised, red-streaked area 

 appeared covered with little vesicles which "wept." He said that at first his arm 

 felt as if paralyzed and that he could hardly use it to swim. Ten or fifteen 

 minutes later, after reaching the hospital, general symptoms began with sharp, 

 shooting pains throughout the whole body, but chiefly in the back. The patient 

 felt nauseated but did not vomit. There was no cough or excessive lachrymation, 

 nor were hysterical symptoms noticeable. An alkaline solution was applied locally. 

 The symptoms continued for about an hour. 



