Child of C. N., a sprightly little girl two years old; symptoms; yellowish white discharge from left ear, profuse lachrymation from right eye, and some white, clear mucus flowing over the eye-lid and cheek that seemed to be blood. The under lid of right eye appeared like a water bag, and the whole face was puffed and rather transparent; the right was much the worse of the two. The child looked sickly and cried much. The mother stated that it had not been well for several weeks. While thinking over Apis and Arsenicum I began to look for agg. by warmth, etc., when I was informed that the child could not endure any covering, and she was absolutely thirstless, which excluded Arsenic from further consideration. The mother believed the urine to be scanty but she was not quite certain, but says she, “Her water smells strong, like that of a horse.” nitricum acidum 1200, and we soon cured the case, ear discharge and all, in the surprisingly short time of a few days.
This was not a case of acute Bright’s disease following scarlet fever, but much like it. Every physician living in this malarial climate must have observed the same anasarca and otorrhoea following malaria attacks, home-treated or neglected. The dropsical condition follows all kinds of malarial attacks, and particularly this ear complication, associated with kidney disease. But will some astute pathologist inform me why nitric acid cured this case so promptly if on other grounds than that it was the similimum? These cases all die when not properly treated. They all recover promptly on a few doses of the appropriate remedy.