330 
TRICHINA SPIRALIS. 
and with a slight oedematous swelling of the face. . On ex¬ 
amination of the chest, a dull sound over about an inch and 
a half of the lowest part of the lower lobe of the left lung 
was produced by percussion ; crepitating rattles were audible, 
but there was no bronchial breathing, thus showing the 
beginning of resolution of the pneumonia ; at the lowest part 
emitting the dull sound there was a slight pleuritic rubbing. 
The pulse was 140; respirations 48; and the temperature 
of the body 39° Centigrade. 
The symptoms of the disease commenced on the 16th of 
October with loss of appetite and diarrhoea, followed by a 
sensation of painful weakness in the limbs and difficulty in 
moving the tongue ; the pulse being above 100. The patient 
was not confined to his bed during the daytime until the 
6'th of November, when the pneumonic symptoms com¬ 
menced. 
The day after my arrival (November 11th) the pneumonic 
symptoms were unaltered, with the exception of the pleuritic 
rubbing, which had moved a little higher up. The whole of 
the pleuro-pneumonic affection was so very trifling that it 
certainly did not account for a pulse of from 140 to 130, and 
for the violent oppression, or rather, as the patient explained 
it himself, “ the weakness in drawing his breath.” 
The following day the frequency of respiration varied be¬ 
tween SO and 60; the pulse was more than 200, and very 
weak; the temperature had fallen to 38° 6' Centigrade ; and 
the body was covered with a profuse clammy perspiration. 
The other physical symptoms were the same as before, and 
the pleuritis had not extended higher. The complaint of 
weakness in breathing, or, as the patient called it, “the im¬ 
possibility of drawing a sufficient quantity of air into the 
lungs,” was increased; but he remained conscious and re¬ 
signed, so much so that he several times asked me at what 
hour I expected he would die. 
At seven o’clock on the evening of the 12th of November 
he died. 
The post-mortem examination, performed on the 13th, 
proved an infiltration of a part of the lower lobe of the left 
lung, extending upwards about an inch and a half from the 
lower margin of the lung, and about three or four ounces of 
liquid exudation in the pleural cavity of the same side. When 
examining the chest and intercostal muscles, I found, in every 
small piece of the muscle placed under the microscope, 
trichinae partly wound up, but not capsulated, partly forming 
a single sling, and partly extended. In the examined parts 
of the heart and diaphragm no trichinae were discovered. 
