Case III. — Mrs K., ii.-para, was confined on 4th August
1899. Labour was perfectly normal and easy. She was
absolutely well till the seventh day, when, without any warn-
ing, she had a rigor, and her temperature rose to 103°. There-
after she complained of severe headache, pain in the back,
and general aching. The lochia was normal, though after-
wards it was scanty, and there was no abdominal tenderness.
BT DB J. LAMOND LACEIE. 63

Accordingly, a diagnosis of influenza was made. Under the
usual remedies the temperature rapidly fell, and by the
eighth day the patient felt very much better, the evening
temperature being only 99*8^ On the ninth morning a
second rigor occurred, and the temperature ran up to 104°.
In the afternoon it was still 102°. In case, by any chance,
the cause was a septic one, I administered an intra-uterine
antiseptic douche, but the discharge that came away was
normal, and immediately afterwards the patient had another
rigor with high temperature. She was put on two-hourly
doses of quinine and digitalis, but, in spite of these, at 9.30 p.m.
another rigor occurred, and the temperature ran up to 105°,
while the pulse was 144, and the patient seemed alarmingly
ill. At 11.30 P.M. Dr Milne Murray kindly saw the patient
with me: by that time the temperature had fallen to 102°,
and on examination Dr Murray could find no septic cause.
He agreed that the condition was probably influenzal, and
advised a continuation of the quinine, etc. By next morn-
ing the patient's temperature was nearly normal, and from
that time she made an uninterrupted recovery, being practi-
cally well in three days.
