ChasR. Hall
1839 The Lancet  
140 ing she became sensible, anti signified her wish to speak ; the wound was covered for a moment to enable her to do su, when she inquired with the greatest anxiety where she was. and what had happened to her. A little gruel was given her, which she swallowed with facility; reaction had come ou ; the pulse was sharp and quick, and the skin hot ; the breathing was very tahorious ; the emphysema had extended over the whole of the neck and upper part of the chest, and down the right arm as far
more » ... the elbow, and over the face and head, so as to render auy attempt at recognition of features impossible. M irch S. Had parsed a very restless night, from great distress of breathing, threatening suffocation; the emphysematous swlling not increased ; pulse rapid and sharp ; the tongue loaded with white fur ; tnuch frothy mneus discharged from the wound, which, however, looks healthy.— An aperient was administered, and a febrifuge mixture. In the evening the emphysema had somewhat diminished, and the breathing was lcss laborious and morenatural; the same position of the head which had becil maintained was continued, and the approximation of the edges of the woond, aided by strips of adhesive plaster, leaving an opening commnnicnting with the larynx, for disrharge of mucus, &c. 9. Distressed much during the night by irritating cough; the breathing croupy; the pulse quick and sharp, and other symptoms indicating some considerable degree of inflammation of the larynx. ThreA grains of calomel were given every four or five hours, and the febrifuge mixture was continued. The emphysema had diminished, the wound healing by the first intention. 10. The cough less irritating, and the breathing less croupy; the pulse soft; tongue cleaner; skin moist; the wound looking quite healthy. 12. In all respects doing well; is enabled to converse a little ; expresses great penitence fur the act she has committed ; states that she was impelled to it by some irresistible influence which she cannot describe, and prays earnestly for forgiveness. From this time she continued gradually improving ; the wound united perfectly ; the voice was restored ; the cough quite ceased. Her mind appears perfectly sane. and imbued with such proper religious feelings as will, it is trusted, exercise over her such a controlling power as to prevent a recurrence of so heinous an act. detail of appearances found on dissecting the body of a mad dog sufficiently interesting, its insertion in THE LANCET will oblige-I am, Sir, yoar obedient servant, Holmes-chapel, April 6,1839. A bull-and-terrier bitch, about three years old, the property of a butcher in the neighbourhoud, had been noticed, for several days previous, to be more ill-tempered than usual, On rlpril lst she manifested sirns of mad. ness, by attacking indiscriminately every animal she could meet with. From bein quiet and inottensive, she was now ferocious and unmanageable, runuing wildly to and fro, without attending to the commands of those to whom she had formerly been obedient. She was secured in a very 8hm't time after suspicion had been excited, but not before she had bitten a duck, three do;;s belonging to her owner, and many in the adjacent village. Dogs of much superior size and power ran away on her approach, and of those she attacked, not one olfered the slightest resistance, but all tied as soon as released from her fangs. When tied up she kept her mouth wide open, and orcasionally howled short, hoarse, but loud yells; the tongue was protruded, and appeared dry and red ; there was no foam about the mouth; the eyes were bright and glaring. She avoidecl water when otiered. Three months ago several dogs were destroyed, on the score of madness, at a small town a few miles distant, but it was not known that the one to which I refer received any injury nt the time. I have been thus explicit in noticing the signs manifested during life, which were cousidered by those concerned sufficieut proofs of rabies, that the reader may be enabled to judge for himself as to the correctness of such conclusion. The dog was shot and buried before a') / intimation of the circumstance reached me; on the following day I examined the exhumed body. The animal was evidently in high condition, from the qnanttty of utitritions and stimulating food which she had lived upon, the fat being firm and in moderate quantity ; the muscles large, firm, and of a deep-red colour. On laying open the skull and vertebral canal, the dura mater over the hemispheres appeared slightly more vascular than usual, particularly on its unattached surface. The arachnoid presented spots of thickening and opacity, most evident on the opposed surfaces of the hemispheres and on the cerebellum. There was no fluid in the arachnoid
doi:10.1016/s0140-6736(02)81836-0 fatcat:5gnvnkkq5rbangoc4zgd4cra7i