37 
short time dnrino* the night. Spots brighter in color. Pulse good 
volume. 
Ke<l blood corpuscles 
Hemoglobin 
No albumin in urine. 
May 23, seen at 9 a. m. b}" Drs. Brown and Anderson. Says she 
feels much better; slept well; wants to eat. Bowels moved naturally 
during night. Xo pain in head or back. Spots bright, but still do 
not disappear on pressure. Temperature 99^, pulse lOJ:. 
Red blood corpuscles - - - 3, 772, 000 
H emoglobin - per cent . . 62 
Xo albumin in urine. 
May 2d, visited at 9 a. m. b}" Drs. Brown, Anderson, and Chown- 
ing. Sa}"s she feels all right. Spots bright red and a few disappear 
slowly on pressure. On account of disappearance of tan on face a 
few were noticed there for the first time. Conjunctivse still jaundiced. 
May 25, seen at 9 a. m. by Drs. Brown and Anderson. Says she is 
hungry; feels stronger; slept well. Xormal temperature for first 
time. 
Red blood corpuscles 4, 200, 000 
Hemoglobin per cent . . 62 
Spots beginning to fade. Patient was visited by Drs. Brown and 
Anderson until May 30, but other than the gradual return of strength 
and slow disappearance of the spots and jaundice, nothing was noted. 
Xo further blood examinations were permitted after the 25th. Blood 
taken on the seventh and twelfth da}’S of the illness did not give posi- 
tive Widal reaction in a dilution of 1:20. 
Treatment: On admission a cathartic was given and l^owels were 
kept open each day with medicine or enema. On May IT treatment 
was given of calcium sulphide, and, at the suggestion of Drs. Anderson 
and MTlson, quinine sulphate (2.6 grams) every twent}"-four hours was 
given and continued until recoveiw. The room was kept dark and 
warm sponge baths given about three times daily. These seemed to 
act especially well in relieving the congestion of the skin and allaying 
restlessness, and after each bath it was noted that the spots lost their 
dark appearance and became much brighter. The patient was allowed 
milk, broths, eggnogs, and occasionally soft toast. 
4, 220, 000 
per cent . . 60 
