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September 24, 1938

Les encéphalomyélites de la scarlatine

JAMA. 1938;111(13):1236-1237. doi:10.1001/jama.1938.02790390092035

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Two cases are reported; one in a woman 36 years of age who suffered an attack of scarlet fever with stormy onset complicated by nephritis. A severe psychotic disturbance developed. This was unrelated to the febrile period and finally disappeared following an attack of bronchopneumonia. The patient had no personal or family history of mental disease. Samples of cerebrospinal fluid obtained by frequent spinal puncture showed no cellular change. The second case is that of a girl 4 years of age who entered the hospital with an attack of scarlet fever. She became somnolent and had tremor of the hands at the end of the first week when the temperature was falling and the rash fading. The spinal fluid showed 22 cells per cubic centimeter, lymphocytes predominating. A week later unilateral ptosis and exaggerated reflexes were observed. After report- ing these two cases in detail, the author gives an excellent

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