13 
reported by pJiysIciom of western Montana. 
! 
' About what day of ill- 
ne.ss did spots appear. 
Death on what day of 
disease, or convales- 
cencebeginningabout 
what day. 
Died eleventh dav 
Foiirth 
do 
Sixth 
Beginning of lysis on 
fifteenth day. ' 
Died sixth dav 
Third 
Convalesced eighteenth 
day. 
Died fifth dav 
Third 
do 
Died seventh dav 
do 
do '. 
Fifth 
Died eleventh dav 
Fourth 
Died tenth dav 
Recovered 
Third 
Died sixth day 
Died seventh dav 
do 
Died sixth dav 
do 
2 or 3 weeks . i 
do 
Died eighth day 
Began to get better on 
ninth or tenth day. 
Recovered 
Had but little eruption . 
do 
do 
Third 
Died about thirteenth 
day. 
Died twelfth dav 
do 
do 
Died eighth dav. 
do 
Died twelfth dav . 
Don’t remember 
Died about eleventh 
day. 
Died* tenth dav 
Fourth 
Can not sav. 
Died about eighth day . 
Died eighth dav 
Died in a few d'avs 
do : 
do 
Fourth 
About third dav 
do ' 
do 1 
Third 
Died ninth dav 
do 
Died eighth dav 
do 
Died tenth dav 
do 
Died eighth dav 
do ... 
do 
1 
i 
1 
Fourth 
Recoverv 
A.bout fourth 
Recovered at the end 
of the fourth week 
after attack. Dis- 
missed at end of five 
and a half weeks 
from date of attack. 
Recovered. 
Died tenth day. 
Recovered after about 
3 weeks treatment. 
Third 
Fourth 
No record 
Remarks. 
Made 3 visits— July 2, 3, 4, 1885. Spots present at 
my first visit. Diagnosed case ‘ ‘ typhoid fever.’ ’ 
This case occurred in a year when there were 
many deaths from spotted fever from Carlton 
to Corvallis. It was then called by the valley 
physicians “black measles.” 
This man lived in Stevensville. A short time 
before he was taken sick he was on the west 
side of the river and slept out in the mountains. 
Mrs. C. had been delivered of male babe 4 days 
before her death. Early in the second morning 
after birth the babe’s grandmother called my 
attention to the child’s fever and jaundiced 
appearance. 
Had but few spots; began to get better on ninth 
or tenth day of his sickness. 
[I can give no good account of them. The man, 
as near as I can remember, was under my care 
f for about 3 weeks, then went to his relations 
at Wausau, Wis. The case of the female was 
I slight. 
Considerable swelling of legs and face last day 
or two. 
Impossible to find any records in this case in St. 
Patrick’s Hospital records. 
Case came from Hamilton and taken to St. Pat- 
rick’s Hospital; only lived 2 days. Was broken 
out thoroughly on arrival; could get no history 
from him. A post-mortem held; only thing 
apparently abnormal was spleen largely in- 
creased in size. 
This man was seen by me in consultation with 
the late Dr. G. F. Mills, who had charge of the 
case. It presented the usual type. He had 
marked delirium, was abundantly “spotted,” 
but made a good recovery. 
Was called to see this case on July 9, he having 
been attended by others prior to this. Found 
him entirely comatosed and learned that had 
existed for 3 days prior. Respirations hurried. 
Temperature biit slightly above normal and 
the peteehic abundant, many of which, by 
their coalescence, made a spot as large as 1 
inch in width and 2 or 3 in length, all of which, 
later bn, formed dry gangrene and sloughed 
to a depth including deep fascia. 
Child from ‘ ‘ Big Blackf oot ’ ’ country, after disease 
was well developed. The spots were not as 
general as in the cases I had before, and were 
only general in distribution over the region of 
shoulders and spine. 
