100 
counts, etc., such as I should have done had time permitted. Fur- 
thermore, some of the hospital charts became lost, so that part of the 
notes had to be written from memory or from brief memoranda. 
BITTER ROOT TALLEY CASES, 1901:. 
190If. Case 1 . — Attending physician, Doctor Buckley (notes writ- 
ten from memory later by Doctor Buckley: Xo microscopic examina- 
tion of blood). 
I\Iale, age 66 years. Seen by Doctor Buckley, April 29, 1904. When first seen he 
had two wood-tick bites in the right inguinal region, each surrounded by an indu- 
rated inflammatory zone and showing an area of blackened skin about inch in 
diameter at the center. Patient had trontal headache and general body aching. 
Temperature 102° F. Thought he had caught cold. 
April 30, temperature 103°. Sclerotics much injected and face congested. Tongue 
moist. Pulse not high. 
May 1, restless. Yo sleep night before. Bowels open. Temperature 103.5° F., 
a. m. ; 104°, p. m. Mottling of skin noticed. Ecchymotic spots the size of a dollar 
seen on the abdomen. Scrotum black. That evening patient was feeling better and 
Doctor Buckley was telephoned he need not see him. 5Iay 2, worse. Spots dark 
purple. Temperature, a. m., 104°; p. m., 105°. Began to have delirium, which 
soon passed to coma, which lasted until death, on May 3, 1904, 
lOOIf. Case 2 . — Attending physician. Dr. J. J. Buckley (notes writ- 
ten later by Doctor Ashburn from hospital chart and from statement 
by Doctor Buckley: Patient seen by Doctors Buckley. Ashburn. and 
Stiles: microscopic examination of dried blood from lips by Doctor 
Stiles, unsatisfactory). 
Female, age 7 years 4 months. Born in Ravalh County, 15 miles south of present 
home. 
Family history, negative. 
Personal history prewous to present illness): Scarlatina in fall of 1903, mild. No 
other sickness. 
Present illness: April 24, 1903, bitten back of ear by 3 ticks. Bites caused swell- 
ing next day. No discoloration; swelling was over upper part of sterno-mastoid, 
below bites. Had fever from that time on. 
April 27, eruption showed on arms, shoulders, hips, knees, aukles, pahns, and 
soles. Mother thought she had measles. She had also complained of sore eyes, 
some pain in back and head. Continued that way with increasing eruption and 
some darkening -of it ' browning) until May 2, when seen by Doctor McGrath and 
pronounced spotted fever. Brought to Missoula May 3. Complained of intense 
general soreness after appearance of eruption. 
May 4: More irritation in throat. Very sore to the touch. Very drowsy. Cramps 
in stomach. Restless in afternoon. 
May 5: Headache. Vomited twice. Sore throat. Very restless all night. Rash 
darker in color but not sore to the touch; patient very thirsty. 
51ay 6: After sponging rested all forenoon, retained milk, some water, and all 
medicine. Throat much better. Not so thirsty as yesterday. Rested all afternoon. 
No vomiting. At 5 p. m., cramps in stomach. 
5Iay 7 : Respiration a little more irregular: retains everything; apparently weaker, 
but pulse good; p. m., breathing very poor, but change for the better late in the 
