29 
Case 119 , 1903 . 
K. S., female, age 5 years, residence 1 mile north of Florence and 
about one-eighth mile south of O. G.’s residence. (Map, p. 8, case No. 
91, 1902.) Child’s two sisters and brother had been frequently bitten 
by ticks during the spring of 1903. This child had, however, been in 
Missoula during most of the spring until three weeks before sickness 
began. The wound remained sore and some pain and swelling was 
jiresent, extending down side of head behind ear and to right neck. 
April 25 patient appeared dull and feverish. On April 27 spots 
began to appear first on back and thighs (child had been in bed since 
April 25). Dr. Bryce, of Stevensidlle, saw patient on this day (April 
27). Temperature 102. Quinine hydrochlorate was given by mouth 
and 1 ‘oom darkened. Patient seen April 29, 12 m., by Drs. Bryce, 
Johnson, and AAilson. Child feeling well; mind clear. Spots con- 
sisted of fine petechise. Temperature 101, pulse 120, strong and 
regular. No examination of blood permitted. 
Patient examined May 2 b}^ Drs. Bryce, Anderson, and Wilson. 
Child weaker and more restless than on April 29, otherwise condition 
much the same. Pulse 120, temperature 101.1. Quinine hydrochlo- 
rate was given in 10-grain doses twice dail}", at first by rectum. 
Temperature remained about 102° 
On May 5 gradually became unconscious and remained so for about 
live da}"s, and then gradual improvement began, which was interrupted 
by an attack of 3;Cute indigestion on the 11th, which gradually passed 
off. Spots remained dark red until about the 12th, and then began to 
fade. Pecovery. 
Case 120 , 1903 . 
E. M., Finlander, age 28, resident of cottag’e where O. G., case 91, 
1902, died; about 1 mile south and 1 mile west of Florence station. (See 
map, p. 8. ) Had not often been bitten by ticks during the spring of 1903 ; 
in fact, does not remember having been bitten at all until he removed 
two ticks April 28, one from over left breast and the other from over 
left biceps. These ticks must have been in place for some time, since 
both were filled with blood. 
On the evening of Monday, April 28, patient had a chill, followed' 
by fever and pains in back and limbs. Pains and fever continued next 
da}" and patient walked to a friend’s li miles distant. On arrival 
there he examined himself and found the two ticks above mentioned. 
On April 29, 3 p. m., patient first seen by Dr. Bryce. Temperature 
102.5, pulse 108, furred tongue, peculiar, sweetish odor of breath, 
circulation on compressed areas and extremities feeble. Mottling of 
skin over palms of hands, especially thumbs. Patient showed con- 
siderable mental dullness and complained of headache, pains in back 
