W. Herbert Gregory
1897 The Lancet  
CLINICAL NOTES. there was considerable tenderness on pressure over the uterus. She was given three grains of calomel at bedtime and five grains of sulphate of quinine every four hours. On the 28th the temperature was 101° and the pulse 106. The patient's bowels acted freely and she expressed herself as feeling better ; but the tenderness over the uterus was very marked, the lochia were scanty, and the secretion of milk was almost nil. The quinine was continued, and the calomel was repeated at
more » ... l was repeated at bedtime. On the 29th the tempera-I ture was 100° and the pulse 100. The patient was still very ill, her tongue was thickly coated, and she was unable to take food ; there was no change in the lochia. On the 30bh the temperature was 101 6° and the pulse 110. There was no improvement in the symptoms, and 10 c.c. of antistreptococcic serum were injected under the skin of the abdomen, the quinine being also stopped. On the 3lst the temperature was 984°, the pulse was 72, and the change in the patient was remarkable. She expressed herself as being well. She slept eight and a half hours during the night, her skin was moist and cool, and her tongue commenced to clean ; the lochial discharge was somewhat increased in amount; 5 c.c. of serum were injected. On June lst the temperature was 98 2° and the pulse 74. The patient was much better, and she asked to be allowed to sit up in bed; 5 c.c. of serum were injected. On the 2nd the temperature was 982°, and the pulse 66 ; the tenderness over the uterus was quite gone, the lochia were natural in amount, and milk was freely secreted. The farther progress of the case was perfectly satisfactory. CASE 2.-This patient was a primipara who was attacked by puerperal septicaemia followed by pelvic cellulitis. At her confinement, which occurred on May 29th, 1897 the presented ; the delivery of the head was difficult, the breech
doi:10.1016/s0140-6736(00)64883-3 fatcat:jzi632fvkvhwtm55n633vxp7le