604 
GEORGE J. GOUBEAUD. 
All symptoms of purpura haemorrhag'ica well developed j tem 
perature 102°, respiration 20, long and deep; pulse 80, weai 
and irregular. Gave injection morning and night; strychnim 
by mouth every four hours. 
Second day.—General condition about same as previous day 
slight cough, followed by muco-purulent discharge of dark 
color ; mucous rales over trachea and larger bronchi. Gave in- 
jection. At 7 p. m. only change seemed to be in appearance of 
oedema, which was more extensive ; both hind legs met; un¬ 
able to move. 
Third day.—General appearance better; oedema decreased 
in size; urinating about every two hours, quantity large and 
dark colored; pulse 70, strong and regular; temperature 10^°, 
respiration 36. A drizzly rain fell all day. Kvening, about 
same as morning; refused to eat. Gave injection. 
Fourth day.—Temperature 101°, pulse 66, strong and full; 
respiration 30, full and deep ; severe cough ; appetite better. 
Gave injection. Kvening, about same as morning. Gave half 
injection. 
Fifth day.—General appearance much better ; temperature 
102°, pulse 60, strong, full and regular; respiration 30, strong 
and deep; cough, followed by discharge, which is dark colored. 
Gave half injection. 
Sixth uay. Geneial appearance greatly improved ; oedema 
of abdomen, sternum and extremities decreased to one-half size; 
other symptoms same as previous day. Gave one-half injection! 
Seventh day.—General appearance much better; no oedema 
of abdomen , limbs have almost returned to their normal size; 
temperature 100 , respiration 20, pulse 52 ; appetite normal; 
hair beginning to fall out; a rash covers the body; urinating 
frequently. Gave half injection ; continued strychnine. 
Kighth day. General condition same as yesterday ; no visi¬ 
ble oedema; petechial spots still present on nasal septum ; I 
should judge about 25 on each side. The spaces between the 
spots appeared to possess a healthy color; on fourteenth dav 
had all disappeared. Gave half injection. 
