I 
17 
by physicians of western Montana — Continued. 
About Avhat day of ill- 
ness did spots appear. 
Death on Avhat day of 
disease, or com-ales- 
cencebeginningabout 
what day. ; 
Remarks. 
Third 
Died eighth daj’ 
Fifth 
Recovered 
Third 
Died fifth dav 
Fourth 
Died seventh daA* 
do 
Died eleventh daA* 
do 
Died eighth daA' 
About fourth 
Died seventh dav 
About fifth 
Died tenth dav 
Third 
Recovered tAA’entA'-first 
dav. 
do 
Died sixth daA’ 
do 
Died eleventh daA’ 
do 
Died ninth daA' 
Fourth 
Died eighth daA' 
UnknoAA’n 
Died about ninth day . . 
Third 
Died seventh dav 
Second 
Died eleventh daA' 
Third 
Died eighteenth daA' . . . 
do 
Died thirteenth day 
About fifth da A’ 
Died sixth daA' 
A feAV third daA' 
ConA^alescent eighth 
dav. 
Ninth 
ConA'alescent tenth 
■ 
dav. 
do 
ConA'alescent ninth 
daA'. 
About fourth 
RecoverA' tAA-entA'-first 
dav. 
do 
Died Apr. 23, tenth day. 
Fourth 
Died about tAA'elfth dav. 
About fifth 
Recovered 
About third 
Died ninth daA' 
Third 
Died sixth dav 
do 
do 
ido 
Recovered in three 
Aveeks. 
do 
Died ninth day 
Fourth 
Convalescence began 
about eighteenth day ; 
last medicine giA'en 
5 Aveeks after onset 
of disease. 
Death on eighth daA’ . . . 
Death on ninth daA’ 
This I am not certain, 
Coiwalescent about 
but I think about 8 
fourth Aveek. 
or 10 daA’s. 
About 8 of 10 daA’s 
Little earlier than bus- : 
band. ' 
Third 
About fifteenth day 
Eighth daA' 
3191— No. 11—03 2 
This patient made a good recovery though a very 
severe case and remarkablj- Avell spotted. 
This patient drank no Avater during the season. 
This is a daughter of No. 82, but Avas not liAung 
on the same ranch. 
Very typical case. Patient conscious until hour 
or two before death. Full report obtained 
before. 
SaAV patient first in my office on second day of 
illness complained of. Pains in head, back 
upper and loAver limbs, soreness of muscles in 
I all parts of body. Temperature, 102; pulse, 90; 
respiration, 24. Temperature did not raise 
I abOA’e 103; AA’as normal 24 hours before death. 
I SaAV him first about 3 hours before death. Had 
been alone most all the time; could get no his- 
tory. Spots Avell defined. 
SaAV him first 33 hours after onset of disease. 
History same as above. Temperature, 103; 
pulse, 90; respiration, 24. Taken regular course 
of disease. Died on thirteenth day. 
Began AA'ith chills and A’omiting, Avith a rapid 
rise of temperature. BoAvels Avere loose from 
onset of disease; urine scanty and highly 
colored. At first Au'sit, tAvo days after onset of 
disease, found temperature 105; pulse rate 104, 
and respiration 32. The temperature AA'as kept 
under 103 by the use of baths, the pulse rate 
did not vary materially, and the respirations 
gradually increased to 45 per minute. Ten 
hours before death occurred temperature fell 
to 95 and the spots all became darker. 
Abortive treatment; blood shoAved protozoon. 
Abortive treatment used by patient at first 
attack. 
AbortiA’e treatment; threatened gangrene of 
right toes. 
Circulation quite rapid at end of tAvo months. 
Delirious much of the time after Apr. 17 until 
death. 
Convalescence beginning about tAA'elfth day of 
disease. 
( No. 108 is the only one Avhich recovered. He 
had been bitten by tAvo ticks a fcAv days before 
taken sick. 
ConA’alescence A’ery sIoav in each case: it AA’as 
1 about 10 or 12 Aveeks before they could AA’ork, 
;( and their health AA’as never so good afterwards 
I AA’hile I kneAV them. 
Systematic treatment Avith quinine; parasites in 
blood. 
Blood showed parasites. 
