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the back with shivering, which may continue off and on for
two or three days; severe pains in the head and eyes, often
with tenderness in the eyes, and pain in moving them; pains
in the small of the back; pains in the limbs, for the most
part in the fleshy portions, but also in the bones and joints,
and even in the fingers and toes; and febrile temperature
which may in the early period rise to 104 or 105. At the
same time the patient feels excessively ill and prostrate, is
apt to suffer from nausea or sickness, and is for the most
part restless, though often (and especially in the case of
children and those advanced in age) drowsy. The above
symptoms are not always all present, and do not always
come on in the same order. Thus, sometimes the feverishness
and shivering appear first, sometimes the pain in the forehead,
sometimes that in the eyes, sometimes that in the
limbs. In ordinary mild cases, the above symptoms are the
only important ones which present themselves, and the
patient may recover in the course of three or four days.
He may even have it so mildly that, although feeling very
ill, he is able to go about his ordinary work. In some
cases, the patients have additionally, some dryness or soreness
of throat, or some stuffiness and discharge from the
nose, which may be accompanied by slight bleeding. And
in some cases, for the most part in the course of a few days,
and at a time when the patient seems to be convalescent, he
begins to suffer from wheezing in the chest, cough, and
perhaps a little shortness of breath, and before long spits
mucus in which are contained pellets streaked or tinged
with blood. This complication of congestion of the lungs
aggravates the patient's malady, prolongs the period of
suffering, and sometimes causes very severe illness, and
even death. Another occasional complication is diarrhæa