For the privilege of reporting the following cases from the wards of the Massachusetts General Hospital, I am indebted to Dr. E. S. Cutler, of the visiting staff.
Case 1.
—A married woman of 25 years, living in Arlington, Mass., entered the hospital July 14, 1896. Her father died of pulmonary tuberculosis. Catamenia was always normal. She has one healthy child. Until recently her health had been excellent, with no history of malarial fever nor any of pelvic disease.For three weeks she had not felt as well as usual, and for ten days had suffered from malaise, headache, occasional vomiting, chilly feelings and backache. During the preceding five days she had been confined to bed with daily fever. Two days before admission, upon attempting to walk, she was taken with a chill and vomiting, accompanied by severe pain in the lower abdomen. Since then all food had caused a