E. Hindle 
193 
April 19th. Not feeling well. 
April 20th. Woke up with severe headache and temperature of 
101° F. Pains in back and shoulders as if bruised, muscles of the legs 
tender, especially in thighs, and weak feeling about knees. Had a hard 
dry cough which gave great pain in the head and cold chills running up 
and down the back. About 11 a.m. vomited, and also passed four loose 
stools. During the day the temperature rose to 104‘2° F., and the 
symptoms became more severe. There was a burning dry heat all over 
and the soles of the feet felt very tender as if one had walked for miles 
on hot pavements. At 10 a.m. took Liquor Am. Acet. 2 drachms ; 
Spir. Ethia. Nit. 15 minims; Syr. Pin. Heroin 20 drops; Water A.A. 
1 oz., and afterwards felt easier. At midnight the temperature was 
105° F. 
April 21st. Passed a restless night the cough being troublesome, 
and felt very weak in the morning though rather easier. There was 
perspiration and acute pain in the eyes, accompanied by frontal head¬ 
ache. 
April 22nd. Spirochaetes were found in the blood in very scanty 
numbers. At 6 a.m. the eyes were very painful, it being an effort to 
keep them open. The sight was failing and could only see a short 
distance with difficulty. At 10 a.m. woke up blind. There was great 
pain in the head and eyes, and acute photophobia. The eyelids were 
swollen. Took a Seidlitz powder and passed five loose stools. The 
cough better. 
April 23rd. Still quite blind; head and eyes very painful. Felt 
very weak. The eyelids were not quite so swollen and the cough 
practically gone. Temperature fell to normal towards evening. 
April 24th. Still blind but pain in eyes better and no headache. 
Took ^ Seidlitz powder and bowels acted at once. 
April 25th. Had a good night and found sight almost returned, 
getting better during the day. Felt well. 
From this date until May 8th there were no pathological symptoms, 
the patient feeling well and the temperature remaining normal. 
May 8th. Passed three loose stools before 10 a.m. ' 
May 9th. Slight rheumatoid pains in the lower extremities. 
May 10th. Severe rheumatoid pains in thighs. The eyes ached 
and were painful to the touch. 
May 11th. Pains in legs still continued. The eyes were painful 
both to touch and to light. Slight huskiness. 
May 12th. Previous syibptoms continued. 
13—2 
