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September 18, 1915


Author Affiliations

Dixmont, Pa. Assistant Physician, Dixmont Hospital

JAMA. 1915;LXV(12):1026. doi:10.1001/jama.1915.02580120038014

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The following is the report of a case in which a brass key and a large eye-screw were found, at necropsy, lodged in the larynx and pharynx:

The patient was a male negro, aged 40, deaf and mute, admitted to Dixmont Hospital after having committed murder while under a delusion of persecution. The case was regarded as one of paranoid praecox, as the man had many typical symptoms of that disease. Chronic nephritis, pericarditis and valvular disease of the heart also were present. The Wassermann test was negative. From the time of commitment he worked daily on the hospital farm until three weeks previous to his death, when he became disabled from an attack of rheumatism. While undergoing treatment for this illness, he was seized with what appeared to be an acute gastritis, marked by vomiting after taking nourishment, and died three days later of exhaustion.

Postmortem findings confirmed the

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