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June 1947

TOPOGRAPHIC DISTRIBUTION OF LESIONS IN CENTRAL NERVOUS SYSTEM IN JAPANESE B ENCEPHALITISNature of the Lesions, with Report of a Case on Okinawa

Author Affiliations

MEDICAL CORPS, ARMY OF THE UNITED STATES; CINCINNATI

From the Army Institute of Pathology, Washington, D. C., and the Children's Hospital Research Foundation, Department of Pediatrics, University of Cincinnati College of Medicine.

Arch NeurPsych. 1947;57(6):673-692. doi:10.1001/archneurpsyc.1947.02300290033002
Abstract

THE OBJECT of this study was to determine the nature and distribution of various types of lesions in the central nervous system of a patient with Japanese B encephalitis. The case was one that occurred during an outbreak of this disease on Okinawa in the summer of 1945.

REPORT OF CASE 

CLINICAL HISTORY  A young white American soldier was admitted to a field hospital on Okinawa on Aug. 4, 1945, in a somnolent state. From his fragmentary story, it appeared that he had become ill about July 28, with headache, fever, pain in the eyes, weakness and dizziness. He stated that he felt "mixed up," that the headache was "terrible" and that during the previous week he had become increasingly drowsy.On admission, seven to eight days after the onset of illness, his temperature was 104 F. and his pulse rate 100 a minute. He was cooperative one moment and

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