56 
CASE OF ASPHYXIA IN SMALLPOX. 
the first legally qualified practitioner to see. M. G., a black 
woman aged 19; received a bite from a dog on July 20, which 
after a while healed up. On September 7th she was beaten by 
some people in the street, and on the 8th aborted. About 
the 26th she felt pain in her ear and great irritation in the 
left or bitten leg. On the 29th she had a spasm after 
drinking a little water, and on the 30th she was brought to 
this institution, and referred all her symptoms to the beating 
she had received. She died on the 2nd instant. 
I have not time to send, and perhaps you will not have 
space to receiv£, the details of the case. It has since been 
followed by three others. Four cases of rabies in man within 
a few weeks in a town of 36,000 inhabitants! 
From the number of people bitten by mad dogs and mad 
cats we shall probably lose some more of our citizens by this 
awful malady. I am, &c., 
W. F. B. Pollard, F.R.C.P. Lond., M.R.C.S. Eng., 
Senior Resident Surgeon at the Public Hospital. 
George Town, British Guiana, October 26. 
•—Medical Times. 
CASE OF ASPHYXIA IN SMALLPOX. 
The asphyxia was caused by exfoliation of the mucous 
membrane of the throat. The strips of membrane covered 
the pharynx, blocked up the passage, and prevented the 
entrance of air. Asphyxia was imminent, and tracheotomy 
was decided on, when a last effort to clean out the pharynx 
was successful. Several strips of membrane were brought 
out from behind the epiglottis, and respiration became pos¬ 
sible. The patient soon recovered. There was no oedema of 
the glottis. The patient had brought up no fibrinous false 
membranes; no abscess in the larynx, as there had been no 
rise of temperature at the time the dyspnoea supervened. 
Lastly, the boils and abscesses which coincide habitually 
with phlegmons of the larynx appeared only ten days later.— 
Lyon Medical. 
