The following case, I believe, is of sufficient interest to merit a place in the literature of gangrene:
—Elizabeth W., age 13, farmer's daughter; parents in good health. Personal history good. In appearance is tall but undeveloped.
—March 6, patient walked to my office, one and one-half miles, to consult me in regard to her left foot, which for two days had been painful and slightly swollen. A diagnosis of rheumatism was made. Three days later the soreness and swelling had extended above the ankle and she was unable to walk. There was some malaise. Pulse, 100; temperature, 99.5. Her condition grew worse from day to day, the sorenesss and slight swelling gradually extending up the leg, the soreness being more marked posteriorly along the course of the large blood vessels and the pain usually deep-seated and of a burning character. The foot was