CASE 56.—Private Chauncey O. Parcher, Co. E, 13th Vt., was admitted Dec. 14, 1862, with typho-malarial fever. This patient had so far convalesced as to sit up a part of the time, when a relapse occurred, from which also he recovered. After this he began to complain of great pain in the right ear in which an abscess formed and was discharged with relief to the pain. But the ear became a second time the seat of severe pain, which extended to the whole head and was particularly severe in the occiput. Delirium followed and he died Feb. 5, 1863, about forty-eight hours after its accession, coma having in the meantime supervened. Post-mortem examination one hundred hours after death: The body was not much emaciated. Nothing abnormal was detected in the brain. The thoracic and abdominal viscera appeared healthy with the exception of the ileum, in which, especially towards the ileo-cæcal valve, a number of Peyer's patches were enlarged, inflamed and ulcerated, the ulcers, however, seemed well advanced in the process of cicatrization.—Third Division Hospital, Alexandria, Va.