I 
510 CORRESPONDENCE. 
ANTIPYRETIC EFFECT OF QUININE—ITS USE IN PNEUMONIA. 
Danville, Ky., January 9, 1883. 
Editor Review: 
In this season of cold rains and sudden changes, we expect to 
have many cases of pneumonia to treat, and in looking over my 
case hook I find the record of a case that may prove interesting to 
your readers. April 28, 1882, I was called to see a valuable com¬ 
bined hay gelding, 16 hands high, 5 years old. 
The horse had been kept in a most excellent stable, and was 
fed and groomed for the market. I found him standing in his 
stall, head down, nose protruding, respiration labored, and a deep, 
paroxysmal cough. Auscultation gave distinct crepitant rales of 
pneumonia on both sides. The respiration was 16 per minute ; 
pulse, 97: and temperature per rectum, 108f° F. I was surprised 
at the high temperature, and took it four or five times in the 
course of 30 minutes, to be sure I had made no mistake. The 
extremities were warm, but movements stiff. Prescribed: Sulph. 
Quinia gr. xh, Dover’s powder, 3j—m.—one every two hours. 
Also, Tr. Aconite Pad m. xx., every two hours, the two alternat¬ 
ing. Applied hot fomentations to the sides by cloths wrung from 
hot water. The fomentations were kept up through the night. 
April 29. The patient about same, but a more haggard look. 
Respiration 36, and labored, but the cough less frequent; pulse, 90; 
temperature, 108°; about the same that it had been for 36 hours.- 
Gave a dose of Sulph. Quinia, gr. lx, Dovers’ powder 3 j, with 
hypodermic injection of morphia sulphate gr. ij. In one half 
hour the temperature fell one-fifth degree. In one hour more 
gave Quinia Sulph. gr. xl, making 100 grains given in 1J hours. 
The body was kept packed in hot blankets. The temperature 
steadily decreased, and at the end of 1^ hours had fallen 1°. 
The succeeding treatment consisted of Quinine and Dovers’ 
powder in 10 gr. doses, with 1 ounce nitrate potassa, dissolved in 
water—every 21 hours. The bowels were kept open by repeated 
enemas, and loosened by green grass and mashes, as appetite 
returned. By the 8th of May the horse was convalescent. 
The point of interest to me in this case was the extremely high 
