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87
Case No. 1.
F. 40. Notified 14/12/20.
The outstanding symptoms in this case were sleepiness, accompanied
by squint. General progression to death.
Case. No. 2.
F. 35. Married. Onset. 13/12/20. Notified 13/1/21.
The patient was at work up to December 20th 1920.
Symptoms—commenced about the 13th. Felt " Muddled in
Head ". General weakness. Nasal catarrh. Slept well in contradistinction
to her usual bad sleeping. She was noticed by the
family to have ptosis. Temp. never above normal. Lethargy was
very marked from the beginning. By the time the Doctor was
called there was no ptosis, and no evidence of squint, nystagmus,
or facial paralysis.
Mental condition quite clear when awake, patient stated she
felt muddled. No tremors or speech changes. During convalesence
the patient slept as badly as before her illness. Recovered.
Case. No 3.
M. 10. School. Onset 21/12/20. Notified. 13/1/21.
Initial symptoms—drowsiness, unable to keep awake, and
blurred vision. On being roused "saw double". Temperature
raised up to 102 degrees. Pronounced lethargy. Some ptosis,
particularly left eye. Diplopia. Left side of face slightly weaker
than right. Flexor muscles of L. thigh slightly weaker than right.
Mental condition was quite clear a few minutes after rousing.
Pulse fell to 50 during the attack, returned to normal during convalescence.
Some slight conjunctivitis.
Year 1925—This boy was a typical case of the serious after
effects, his Headmaster reporting that he could do nothing with
him. As there was some difficulty with the children in the district
he was transferred to another school. At first there seemed to be