342 VENOMS 



" On Tuesday, June 1, about 11 o'clock, Dr. Moreau gave a 

 second injection of 20 c.c. Considering the condition of the patient, 

 we hardly hoped for a successful result. To our great surprise, 

 however, the patient regained consciousness about 3 p.m., and the 

 improvement progressed rapidly." 



XXII. — Case recorded by Dr. Thuau, of Bauge (Anjou midical, 

 September, 1897). 



" X., a young man of Volandry, a parish 10 kilometres from 

 Bauge, was bitten in the heel at 10 a.m. on the 6th of last August, 

 by an aspic, about 50 cm. in length, while engaged in harvest- 

 ing. He at once had himself taken to Bauge, knowing that 

 there was an antivenomous serum dispensary there, and about noon 

 he arrived at the house of my confrere and friend Dr. Boell. The 

 latter, in view of the grave symptoms exhibited by the patient 

 (nausea, vertigo almost amounting to syncope, pain in the chest, 

 profuse sweating, &c.), gave him, with all the customary precau- 

 tions, a first injection of 10 c.c. of Calmette's serum in the flank. 

 After about half an hour, since the alarmmg symptoms did not 

 appear to diminish, he did not hesitate to give a second injection of 

 10 c.c, and then had him sent to the Bauge Civil Hospital, where 

 he came under my care about 3 p.m. I then found that this 

 young man had been bitten in the left foot, a little below the 

 external malleolus, midway between the latter and the plantar 

 margin. The snake's fangs had penetrated rather deeply ; the two 

 little wounds were about a centimetre apart. About this time 

 the patient experienced great relief, and his general condition 

 continued rapidly to improve. The axillary temperature was 

 37-8' C. 



" Locally the patient complained of somewhat acute pain in the 

 entire foot ; the latter was purple and greatly swollen, and the 

 swelling had affected the whole of the lower leg and extended to 

 a little above the knee. I made a slight incision in the region of 

 the two wounds caused by the bite, made the place bleed a little, 

 and washed it with a solution of permanganate of potash, advising 



