Shell-shock and other neuropsychiatric problems : $b Presented in five hundred and eighty-nine case histories from the war literature, 1914-1918Southard, Elmer Ernest
History
Shell-shock and other neuropsychiatric problems : $b Presented in five hundred and eighty-nine case histories from the war literature, 1914-1918
Southard, Elmer Ernest
War neuroses; World War, 1914-1918 -- Medical care; World War, 1914-1918 -- Psychological aspects
Here he was found sometimes sad, immobile; at other times laughing and
singing. He was very irritable on small occasion. Once on leave he
had a fugue with complete amnesia, though alcohol may account for the
latter. His memory was vague, especially for his crimes and for recent
events. He was emotional, indifferent even in the presence of his wife
or aunt. Sexual indifference. He often complained of his head, saying
that he felt it blocked and that he could not think. The headache was
frontal and would last several hours. The man would, however, not
complain spontaneously. He was physically, in general, negative.
This case might possibly be due to a post-typhoidal encephalitis, but
Nordman believes rather that it is a case of dementia praecox. Perhaps
the convulsions at eight produced a slight brain lesion, brought to an
issue by the typhoid fever.
Paratyphoid fever: Psychosis outlasting fever.
=Case 125.= (MERKLEN, December, 1915.)
A Breton farmer, 34, had paratyphoid alpha. Admitted to hospital
September 3, 1915, he had headache, anorexia, asthenia, coated tongue
and tense abdomen, algosuria; later, abdominal swelling, borborygmi in
the right iliac fossa, rose spots, dicrotism, albuminuria, bronchitic
rales. The disease was severe, and was complicated by sacral decubitus
and ran a month.
At first somnolent, September 8th the patient went into a state of
mental excitement with agitation and delirium. He got out of bed, cried
out, sang, talked to his neighbors, complained that his papers (colis)
had been stolen, as well as his watch and tobacco; that his horses’
hoofs had been injured, and the like.
He grew calmer in a few days, and now no longer tried to get up,
remaining inert in his bed. The occupation delirium persisted--he was
not being paid what he owed, and the like. He had hallucinations;
looked for scissors, and one day said, “Here they are!” At intervals he
appeared lucid and responded appropriately to questions.
The fever dropped and the paratyphoid disease appeared past, but the
mental state remained for three weeks without change, having the same
periods of lucidity when he would be regarded as cured, but falling
again forthwith into his post oniric ideas. He was soon sent to a
convalescent hospital and was not wholly well for another month.
Psychopathic taint brought out by paratyphoid fever.
=Case 126.= (MERKLEN, December, 1915.)
A soldier, 31, was a victim of paratyphoid alpha, entering hospital
October 21, 1915, with the usual symptomatology: fever, asthenia,
headache, abdominal swelling, tongue coated and red along its edges,
diarrhoea. After admission he passed into a deep toxic state.
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