— 460 
perature 102.4 nausea and vometing, puise 124, considérable pros¬ 
tration, bubo in groin and no sign of infection below. Symp- 
toms began evening before. 100 cc. sérum injected intraveniously. 
May i8th. température 102, pain in bubo still continued, patient 
otherwise feeling better. A later report showed recovery. 
Case 5. — Male âge 57, First consultation May 17thtempéra¬ 
ture 103, semicomotose, rétention of urin wfich when drawn off 
was very dark in color. Patient gave a history of severe chill seven 
days previous to consultation followed by high fever and two 
days after chill a bubo appeared in left groin. Upon examination 
bubo was found above Poupart’s ligament with slight swelling 
below the ligament. No sign of venereal disease or other infec¬ 
tion. 95 cc. sérum was given, half intraveniously and half subcu- 
taneously. Patient died next day. 
Case 6. — Female âge 16. First consultation May 24th. Tem¬ 
pérature 105.22 bubo in right groin below Poupart’s ligament, 
headache, prostration. Symptoms began two days previous. In¬ 
jected 40 cc. sérum intravenous and 45 cc. subcutaneous. May 
25th. température 104. Gave sérum as on first day. Patient died 
May 26 th. 
Case 7. — Female âge 21. First consultation May 24th. Tem¬ 
pérature 103,2, nausea, pain in région of heart, and prostration. 
Symptoms began evening of May 23 rd ; no bubo. Cathartics and 
quinine given. May 24th. 9 A.M. bubo appeared in groin, tem¬ 
pérature 104,5. Injected 45 cc. sérum intravenious and same 
amount subcutaneous. Patient again seen 5 B.M. of same day, 
temp. 104. As it was impossible to see patient before afternoon of 
next day 90 cc. sérum was injected subcutaneous. That night 
température went down, pain in bubo ceased. May 25th. patient 
felt much better, but at 2 P.-M. when sitting up to hâve cloths 
changed her lips suddenly turned blue, there was free perspiration 
and death occured in a few minutes, no doubt from her heart 
weakness. 
Case 8. — Male, âge, 28. First seen May 3ist. Température 105, 
puise 132, bubo in right groin below Poupart’s ligament with 
much swelling and pain. The patient was delirious. Symptoms 
began eight days before. 50 cc. sérum injected intravenious and 
45 subcutaneous. Patient died that night. 
Case 9. — Female, âge 10. First consultation on the evening of 
June 4th. Température 102.5, bubo in groin. Symptoms began 
