138 
Heart. 
For cardiac weakness in the later days caffeine is best. Spartein 
and strychnine are of use. Alcohol is of value. Great care must be 
taken to prevent collapse, and especially when the bradycardia is 
pronounced. Ether is useful, especially if collapse is threatened 
through attacks of vomiting. 
Com pi ications. 
Inflammation of the parotid glands is not a very rare occurrence, 
and is a most distressing complication. The prognosis is fair. 
Applications of ice are most comforting. If abscesses form they must 
be opened. The swelling is generally bi-lateral. Ichthyol proves of 
service in some cases. 
Other glands may inflame and suppurate. The subjects generally 
have had severe and prolonged attacks of yellow fever with intestinal 
complications. Pneumonia is a most grave complication. 
Furunculosis is very troublesome during convalescence, and several 
crops of boils may occur. 
Management of convalescence. 
Recovery must be slow and the patient will require careful treat¬ 
ment. In a mild case nourishment can be given even on the fourth 
day. Milk mixed with lime water or Vichy, or toast-water, rice and 
barley-water should be given in small amounts, and if well retained 
the amount can be increased by degrees. Chicken jelly, raw eggs, 
and fish should constitute the diet of the patient for the first week of 
convalescence. In severer cases great care is necessary to avoid 
bringing on vomiting. If the temperature is below I02°F. (38*9° Q 
give the nourishment in small quantities. The patient must not be 
trusted to control his appetite ; he is ravenous and will gorge himself 
unless prevented. Fatal relapses are usually due to indiscretions in 
iet. As long as the pulse is slow great caution must be exercised 
and exertion avoided. 
The icterus should be treated by sodium sulphate waters. The 
•ucmeys rapidly regain their normal state. Convalescents are usually 
very erotic. They should be warned of the dangers incurred by early 
intercourse, while their heart muscle is still degenerated. 
