During the years from 1903 to 1906 a number of cases came under observation which till that time had not been encountered and a description of which has not been found in the text-books, nor in current literature so far as I have investigated.
The first two cases seen by me occurred in the practice of Dr. Morris of Birmingham, and so unusual were the symptoms, so prompt the fatal ending, that poisoning was suspected, though no known poison would seem to explain all the symptoms. Other cases occurring soon after, we were forced to the conclusion that we had encountered a symptom-complex new in our experience. Conversation with our older practitioners shed no light, as they had seen or had recognized no such cases.
Eighteen cases have come under my personal charge, or in consultation. Of these twelve patients died, six recovered. The youngest was 6 months old, the