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A Peculiar form of Transient Mania following an attack of Erysipelas of the Face


I lately saw a lady who a fortnight before had had an attack of erysipelas of the head and face of a very severe character, causing much swelling, shutting up the eyes, and being accompanied by slight delirium. All the acute symptoms of this had passed off, the temperature was down from 104° to normal, and the swelling of the face was abating, but still she could not open her eyes. About three days before I saw her she seemed to know that she was going out of her mind, for she asked her friends to keep her as long at home as possible before sending her away. She then began to wander in mind, and have hallucinations of sight and hearing, to mistake identities, and to fancy she had a child. She would go on talking to imaginary people; would especially keep up long conversations with God; would ask Him quite familiarly what she was to do if anyone requested her to take medicine, &c., and would fancy she got an immediate reply. Her amatory propensities were exalted, and her religious feelings and emotions both excited and perverted. Usually she lay in bed, but was at times very violent indeed. Her pulse was 86, and of fair strength, and her temperature 98·6°. She slept little. She took liquid food. She could open her eyes slightly with difficulty, but never did so, and evidently preferred to keep them shut, and live in her own world of fancies. Her state much resembled a waking dream. Impressions on her senses of hearing and touch were acutely felt, however, and made much impression often in diverting her from her unreal beliefs and hallucinations.

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The British Journal of Psychiatry
  • ISSN: -
  • EISSN: 2514-9946
  • URL: /core/journals/the-british-journal-of-psychiatry
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A Peculiar form of Transient Mania following an attack of Erysipelas of the Face

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