5 
Comparison of “spotted fever” with piroplasmatic diseases in animals — Con. 
Symptomatology — Continued. 
Nervous system — Continued. Page. 
Mind 78 
Delirium 78 
Coma 78 
Convulsions 79 
Opisthotonos 79 
Brain and spinal cord 79 
Kernig’ssign 80 
Urinary system 81 
Kidneys 81 
Suprarenals 83 
Bladder 83 
Urine: Quantity; Color; Specific gravity; Reaction; Albumen; 
Sugar; Urea; Bile; Casts; Hematuria; Hemoglobinuria; Depos- 
its; Post-mortem 83 
Genital system 87 
Relapses 87 
Complications 87 
Convalescence 87 
Prognosis 88 
Lethality 88 
Death 89 
Diagnosis 89 
Specific diagnosis 89 
Differential diagnosis: Typhus; Typhoid; Meningitis; Dengue; Pur- 
pura hsemorrhagica; Peliosis rheumatica; “Bilious fever”; 
Measles 90 
Treatment: General principles; Surroundings; Diet; Tick bite; Purgation; 
Quinine; Calcium sulphide and creosote; Pain; Skin; Baths; Enemata; 
Fever*, Diuresis; Heart; Delirium; Saline solution; Oxygen; Bleeding; 
Supportive treatment 92 
Prevention 98 
Sequelae 98 
Autopsies 99 
Pathology 99 
Clinical histories: 
Eleven cases in Bitter Root Valley, Montana, 1904, by Ashburn, Buckley, 
Gates, Gwinn, Minshal, and Pixley 100 
Two possible cases at Livingston and Gardiner, Park County, Montana, 
1904, by R. D. Alton 110 
Four cases at or near Bridger, Mont., with chart of 17 cases, by L. A. 
Gates. Ill 
A possible case in Utah, by R. J. Smith 116 
Bibliography ' 116 
Index to technical names cited 121 
