The two cases are very similar. The first, a woman æt. 21, was admitted to the asylum on February 4th. A few days previously she had an attack of influenza, and during convalescence showed mental symptoms—wandering, buying useless articles, religious delusions. The chief symptoms on admission were sleeplessness, sitiophobia, motor agitation, incoherence, involuntary loss of fæces and urine, and destructiveness. She was oblivious to her surroundings. The temperature was slightly increased, pulse 120 per minute, and collapse and death occurred on February 12th. The second case, that of a woman æt. 47, had influenza on January 28th, with pulmonary symptoms. During convalescence she developed delusions that she was lost, became very excited, and entered asylum on February 8th. Her symptoms were very marked—loss of sleep, agitation, incoherence, then slight rise of temperature and rapid pulse; developed broncho-pneumonia, and died on February 13th. At the post-mortem there was found in both cases fatty degeneration of the liver and kidneys, and marked hyperæmia of the brain and meninges. In the second case there was a small patch of broncho-pneumonia. In neither case was there any trace of exudation or softening, or any inflammatory condition in the brain. Microscopically the pyramidal cells in both cases showed marked loss of the chromatic substance, which was disintegrated and diffused throughout the cells. The cells were affected very unequally, some being fairly normal. The vessels in the cortex were gorged with blood.
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