POISONOUS MILK. (J9 



about forty-five, previously in good health, with the same 

 symptoms. In this case the stupor was more marked from 

 the first. I was unable at any time to obtain any cathartic 

 action in this case. Copious enemata of warm water were 

 used, but succeeded only in washing some hardened lumps 

 from the rectum. By this time I had concluded that the 

 poison was most likely tyrotoxicon. 



" ' On Friday morning the only remaining member of 

 the family at home, Miss Alma, sixteen years of age, was 

 affected in the same way as the others. On that day I 

 went to Ann Arbor, and gave a history of the cases so far 

 to Dr. Vaughan, who, from the symptoms, thought that 

 my diagnosis was most probably correct, and he advised 

 with me as to treatment, which I carried out. I gave two 

 grains of sodium salicylate every four hours, and used small 

 doses of the tonics and stimulants, quinine, nux vomica, 

 digitalis, whiskey, and the aromatic spirits of ammonia. 

 On Saturday the symptoms in all remained unimproved, 

 and in the mother and son the stupor and labored breath- 

 ing grew more marked. 



" ' On Sunday, I again went to Ann Arbor, and brought 

 Dr. Vaughan with me to see the patients. The tempera- 

 ture of the mother on Sunday was as low as 94° F., and 

 that of the son 95° F. Dr. Vaughan agreed with me as to 

 diagnosis and treatment. Sunday evening the patients 

 were all removed to the house of a neighbor, about forty 

 rods distant (the reasons for this will be given later). Dr. 

 Vaughan and I both expressed the fear that the mother, 

 and possibly the son, would not live through the night. 

 Both of these rapidly grew worse, and the son died at 7.45 

 A.M. and the mother at 4 p.m., Monday. 



" ' During Monday the daughter rapidly grew worse, and 

 at the time of her mother's death could not be aroused, and 

 practically she remained unconscious from that time on. 

 The father was very weak, but retained his consciousness 

 all the time. Convulsive movements of the limbs had 

 been noticed in the son, but not in the mother. These 

 now became more marked in the daughter, who remained 



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