JAMA. 1907;XLIX(1):41-42. doi:10.1001/jama.1907.25320010041003f.
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The following unusual case came under my observation while I was connected with the State Hospital, Danville, Pa.:

Patient.  —J. A., a Pole, aged 35, from Susqehanna, Pa., was admitted to the institution Aug. 6, 1896.

History.  —The mental status was one of melancholia terminating in dementia. There appeared little physical or mental change for several years. On Feb. 7, 1905, there was noticed a marked failure in the patient's physical health. Mentally he was quiet and gave no trouble. Physically he was weak and emaciated. For a week previously he had a rise of temperature. Several weeks before he had an attack accompanied with considerable pain in the region of the bladder. There was present marked hematuria which disappeared in a week's time under irrigations of boric acid. Several of these attacks occurred which responded to the irrigation treatment.On Feb. 15, the patient was gradually failing and lay


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