352 VENOMS 



and hand, however, persisted for some time, though there was no 

 formation of pus. On the third day after the accident the albumin 

 had completely disappeared from the urine. Finally, after the 

 lapse of a fortnight, the condition became normal, and the convict, 

 who had recovered the entire use of his arm, was able to resume 

 work. 



" Treatment. — On admission to the Infirmary, A. received a hypo- 

 dermic injection in the thorax of the contents of a bottle of 

 antivenomous serum. At the same time he was given tonics 

 (alcohohsed coffee). The injured limb was placed in a hot phenic 

 arm-bath. These baths were continued on the following days, 

 alternately with damp dressings. Milk diet, and daily aperients. 



" We saw the patient again more than a year after the accident ; 

 his recovery had been complete ; there was no loss of power in 

 the arm whatsoever, and he had never suffered from the nervous 

 troubles mentioned by some authors as a complication ensuing 

 after a long interval, and attributed by them to the antitoxic 

 serum." 



XXXIV. — Case reported by M. Jean, Veterinary Surgeon of 

 Artillery in Martinique. 



" C, a negro, aged 26, employed in the artillery quarters at the 

 Riviere d'Or, was bitten in the right leg by a snake measuring 

 about 1 metre in length, which he declared was a Trigonocephalus. 

 The patient came to me twenty minutes after the accident. The 

 marks of the bite were clearly visible a hand's breadth above the 

 external malleolus. The wounds were inflamed, and appeared as 

 two small red spots 15 cm. apart, from which a few drops of 

 serum were exuding. I did not notice any congestion. The 

 patient, however, complained of a feeling of weight in the leg, 

 and supported himself upon the sound one. After making the man 

 lie down upon a bed, I applied a tight ligature above the bitten 

 part, and , with a penknife passed through a flame, I endeavoured 

 to incise the wounds. The instrument, however, was blunt and 

 I obtained but little blood. 



