Four types of encephalitis recently encountered in my practice seem of sufficient interest to report. They consist of one case each of mumps meningo-encephalitis, postvaccinal encephalitis, measles encephalitis, and hemorrhagic encephalitis following arsenical therapy (sulpharsphenamine).
—R. E., aged 8 years, was admitted to Epworth Hospital, March 27, 1928. One week previously he had had a bilateral parotitis. In five days the swelling began to subside, but the patient complained of headache, vomited and became increasingly drowsy. The family physician noted a definite cervical rigidity and advised hospitalization. On admission he was pale, acutely ill, and very drowsy. His temperature was 103 F. He was aroused with difficulty and was poorly oriented. The pupils reacted normally. Strabismus was not present. The eyegrounds showed venous engorgement and a general hyperemia of the retina but no papilledema. Marked cervical rigidity was present but no opisthotonos. No residual swelling of
MILLER MK. FOUR TYPES OF ENCEPHALITIS: (1) MUMPS MENINGO-ENCEPHALITIS; (2) POSTVACCINAL ENCEPHALITIS; (3) MEASLES ENCEPHALITIS; (4) HEMORRHAGIC ENCEPHALITIS DUE TO ARSENIC THERAPY — SULPHARSPHENAMINE. JAMA. 1931;97(3):161–164. doi:10.1001/jama.1931.02730030011005
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