This is a case, apparently, of endogenous toxic origin, immediately arising after a violent emotion of sorrow, which caused sudden suppression of the menses. J. C—, was admitted into Villejuif Asylum, May 1st, with certificates stating that she was acutely maniacal and violent, and that she also presented signs of mental enfeeblement and alcoholism. She was restless, incoherent, violent, and slightly feverish. The onset of her illness dated from the beginning of her child's illness; she became sad, irritable, and ate but little. The child dying, her menstruation ceased after twenty-four hours' duration, and she began to have delusions. A few days later she became acutely maniacal. May 2nd, restless, incoherent, destructive, scarcely heeds questions; has to be fed with stomach-pump; temperature 37.8° C. Between May 3rd and May 12th temperature varied between 39.4° C. and 38.2° C., and the acutely maniacal condition persisted. No sign of typhoid, etc. Wasting rapidly. This went on, more or less, till June 6th, when the patient became quieter; her temperature fell to normal, and her tongue became cleaner. After June 14th, although there was no fever and the acute delirious condition did not recur, the patient remained maniacal until the end of August—restless, incoherent, sleeping badly, mistaking identities, etc.
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