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later had to reintubate. Another injection of ten cubic centimetres of antitoxin was given. The mem- brane did not disappear viagra home delivery until the tenth day, when the tube was removed and the child recovered. Case II. M. K , aged five years. Had com- plained of sore throat for several days; examination showed tonsils and palate covered with pseudo-mem- brane. Three hours later I gave injection of fifteen cubic centimetres of Gibier"s antitoxin. The next day marked dyspncea showed viagra purchase pakistan extension of membrane to larynx; the same night intubation had to be done for the relief of the dyspncea. I removed the tube on the seventh day. Convalescence was very slow and at the end of three weeks the patient developed a viagra home delivery broncho- pneumonia, which terminated in a cavity of the right lung. Case III. A. K , aged three years. Ill two days; when I saw her there was diphtheritic membrane on tonsils and palate. I injected fifteen cubic centi- metres of Gibier's antitoxin; the throat cleared of membrane on the eleventh day and she recovered. Case IV. A. L , aged eight years. Had been ill two days; diphtheritic membrane on tonsils, phar- ynx, and viagra home delivery in nose; glands of neck much swollen. I gave twenty cubic centimetres of Aronson's antitoxin. Next day the membrane had extended; the patient grew worse, and died on the third day, with marked viagra purchase pakistan meningeal symptoms. Case V. P. B , aged twelve years. Ill seven- teen hours; diphtheritic membrane on tonsils, palate, and pharynx; cervical glands viagra home delivery swollen. I immediately gave injection of ten cubic centimetres of antitoxin prepared by the board of health. The patient grew steadily worse, and two hours before death had con- vulsions. He died twenty-eight hours after injection of antitoxin. No examination of urine had been made. Case VI. W. G , aged six years. Parents stated that the child was in perfect health until 5 p.m.; he then complained of headache and vomited. I viagra home delivery saw him two hours later. Examination of throat showed a small patch of membrane on the left tonsil. Ten hours later and twelve hours after the child was first taken ill, I injected five cubic centimetres (or fifteen hun- dred units) of antitoxin prepared by the board of ' Read before the New York Academy of Medicine, June 4, 1896. health. The membrane continued spreading and cov- ered both tonsils and palate; death ensued twelve hours later. Case VII. G. B , aged two and one-half years. Had been ill three days before I saw her; membrane on tonsils and palate; cervical glands swollen. I gave injection of ten cubic centimetres of board-of-health antitoxin. As there was no improvement in viagra home delivery twenty- four hours, I gave another injection of five cubic cen- timetres of antitoxin. The child died on the fifth day. Case VIII. G. S , aged two years. Diphthe- ritic membrane on tonsils only; had been ill twelve hours. I injected ten cubic centimetres of Aronson's antitoxin. Next day the membrane had extended to the pharynx and dyspncea showed invasion of the larynx. Another injection of antitoxin was given ; stenosis in- creased and it became necessary to intubate. This was done, with relief to dyspncea. The third injection of antitoxin was given without the slightest sign of im- provement in the child's general condition or the ap- pearance of the throat. He died on the fifth day. Two brothers of this child were suffering from diph- theria at the same time; they were treated without anitoxin and both recovered. Case IX. J. K , aged three years. Had been ill four days; when first seen examination of throat showed pseudo-membrane on tonsils and palate. Fif- teen cubic centimetres viagra purchase pakistan of Aronson's viagra home delivery antitoxin were in- jected. Next clay the membrane had invaded the lar- ynx. Intubation was done for the relief of laryngeal obstruction; the membrane cleared away on the sev- enth day and recovery followed. Case X. M. M , aged twenty months. Diph- theritic membrane on tonsils only. I gave injection of ten cubic centimetres of antitoxin prepared by the board of health. The child died in convulsions fif- teen hours after injection. Case XI. viagra purchase pakistan B. F , aged nine years. The child viagra purchase pakistan was ill twenty-four hours before I saw her; tonsils, palate, and pharynx covered with pseudo-membrane; glands of neck much swollen. I at once gave injection of ten cubic centimetres of antitoxin (board-of-health preparation). No improvement was noted; the child viagra home delivery died on the fourth day. Case XII. G. K , aged three and one-half years. Ill two days; tonsils and palate covered with mem- brane. I gave injection of five cubic centimetres of antitoxin of board of health. The throat gradually cleared of membrane; the child was well on the tenth day. Of these twelve cases treated with antitoxin I con- sidered eight as severe and four as mild in character. Four patients were intubated, one of viagra purchase pakistan whom died. Ages of those who died: Three were from twenty months to two and one-half years old, one six years, one eight years, one nine years, and one twelve years. The ages of those who recovered ranged from three to five years. Recovered, five ; died, seven. Mortality, over fifty-eight per cent. A description of a few of the cases treated without antitoxin is in viagra home delivery order: Case I. J. R , aged five years. Had just re- covered from measles; membrane on tonsils and phar- ynx; glands of neck much swollen. The throat cleared