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April 30, 1910


JAMA. 1910;LIV(18):1442. doi:10.1001/jama.1910.92550440001001k

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The following case may prove of interest since it shows hysteria in one of its most unusual and interesting phases.

Patient.  —C. M., male, aged about 40, was admitted to the wards of the Philadelphia General Hospital suffering from what was suspected to be tetanus. The nearness to the Fourth of July, together with the clinical aspect and examination of the case all helped strengthen this diagnosis.

Condition on Admission to Hospital.  —On admission, July 11, 1909, the patient complained of inability to open the mouth, with rigidity of the muscles of the neck, back, legs and abdomen. No wound was demonstrable on any part of the body. Temperature was 101 F., pulse 96, and respiration 24.

History.  —Family and previous history were negative. He stated that he had used alcohol and tobacco to excess all his life. He was drunk on the Fourth of July and slept

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