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71
became worse, could not keep still—had to keep walking about.
On 29th October he went to business but could not write, felt so
ill that he was brought home by a fellow clerk, as he could not
trust himself. Seen by a doctor on 31st October. Pulse 120.
Temp. 99.4. Could not concentrate. Depressed. Anorexia.
Weak. No p.s.
1st November—Pulse 66. Temp. 97.8. Felt well. 10 p.m.
Had an attack of shaking with tachycardia. Felt as if he was going
to die after waking up from sleep and had a bad dream. No nystagmus
or abnormal physical signs.
2nd November—Slight nystagmus. Had a little sleep.
4th November—Pulse 66. Temp. 97.4. Slightly jaundiced,
but no bile in urine. No headache. Not giddy in bed.
After that he varied from day to day, sometimes feeling well,
sometimes giddy and too weak to move. Had tremors of hands at
times. Gradually improved and could walk about 10 miles. One
of his periodic complaints was that at times everything he saw used
to annoy him. The boy was very nervous, working a lot in the
ings as a student, but had no worries either at home or at his work.
21st January, 1926—When seen on this date, pupils were much
dilated, 3rd nerve affected. No nystagmus. Slight tremor of
hands Knee jerks brisk.
Recovery in this case was complete, and he has since been promoted
in the Office.
Case No. 60.
F. 18. Domestic Servant, Onset 11/11/25.
The initial symtoms were headache, lethargy, giddiness and
some retching. These symtoms persisted for nearly three weeks.
Later was costive. No ocular symtoms.
Recovered.