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September 22, 1906


Author Affiliations


JAMA. 1906;XLVII(12):937. doi:10.1001/jama.1906.25210120033002a

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A case cited in The Journal, Aug. 11, 1906, prompts me to add to the literature the following case:

Patient.  —C. H. J., aged 25, married, a large strong woman.

History.  —I found patient in a convulsion that had every appearance of epilepsy and a history of having had three such attacks within a short time. The symptoms were almost identical with those described by Dr. Whitehill in the article referred to above. Respirations were rapid, pulse 124 and forcible; pupils dilated and without reaction, mouth bleeding, patient absolutely unconscious. There was a faint odor from the breath that reminded one of some pungent oil.

Treatment.  —Acting on general principles, I gave 1/10 gr. of apomorphia. In spite of her benumbed condition, this produced copious vomiting, which was aided by filling her stomach, by a tube, with large quantities of warm salt water. One slight convulsion appeared after the administration

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