DACCA LUNATIC ASYLUM.
83
156
208
229
167
13
239
154
26
27
28
29
30
31
32
Dinonath Dutt
...
...
...
Prem Narain Bhadra
...
...
Katoo Das
...
...
...
Bonomali Dome ... ... ...
Musstt. Dyani
...
...
...
Holeram Butil
...
...
...
Ali Bux ... ... ... ... ...
Tipperah ...
Furreedpore...
Julpigoree ...
Nowgong ...
Tipperah ...
Dacca ...
Ditto ...
Mania, chronic ...
Dementia, chronic
Melancholia ...
Dementia, chronic
Mania, chronic ...
Dementia, chronic
Melancholia ...
4 years ...
2 years ...
4 years ...
3 years ...
Not recorded ...
12 years ...
1 year ...
Several
indolent
ulcers on
legs.
Health bad.
Liver and spleen much
enlarged, suffering
from fever.
Spleen
enlarged—
diarrhœa on admis-
sion.
Pale and cachectic—
spleen enlarged ...
Good
... ...
Spleen enlarged ...
Good
... ...
0
0
0
0
5
0
1
9
3
2
9
1
2
0
29
12
3
2
10
16
7
Dysentery, chronic
Meningitis, acute
Debility ...
Debility ...
Empyema ...
Cholera ...
Phthisis pulmonalis
0
0
0
0
0
0
0
0
0
0
1
2
0
0
21
3
25
25
16
15
15
coat of large intestines, and the ilium, were the seats of
tubercular deposit.
On the 1st September was admitted into hospital with
dysentery. The disease was checked, but on the 11th
it re-commenced: on two occasions he passed large
sloughs.
Liver was very large, weighing 3 lbs 2 ozs. Through-
out the colon and rectum large sloughing ulcers were
found. The ilium, however, was healthy.
This is a very instructive case. On the morning of the
7th October he was admitted with all the symptoms
of dengue fever. During the night of the 8th he
became delirious and comatose with a temperature of
103° 8'. In the afternoon, the thermometer recorded 104°
6'. The urine drawn off, was highly albuminous. On
the 9th the temperature was 102° 8' at 4 a.m.; and 104° 2'
at 2 p.m. He died two hours later. Beneath the arach-
noid a large quantity of sero-purulent fluid was found.
In ventricles masses of flocculent pus floate 1 in the
fluid.
On the under surface of the cerebellum, and
around the medulla, pure pus was deposited. " Secon-
dary meningitis," as it has been called, occasionally
occurs along with other eruptive fevers, but I believe
it is exceedingly rare during dengue.
Was only out of hospital for a few days. Remittent
fever with diarrhœa reduced him, and he was unable
to digest any food.
The liver was of great size, weighing 3lb 3ozs. The
spleen weighed 13 ounces. Numerous small circular
ulcers in the colon and rectum, and a deeply con-
gested state of the mucous membrane of the ilium,
were the principal pathological charges.
General dropsy and repeated attacks of diarrhœa pre-
ceded death. A gelatinous deposit on right pleura,
and great congestion of left lung, were found. In
small intestines patches of congestion and of extrava-
sated blood were observed.
Was taken ill with pleuro-pneumonia on the 28th August.
Enormous effusion of highly albuminized serum filled
the right pleural cavity. The lung was collapsed and
tuberculous; but long fibrinous filaments connected it
with the costal pleura.
Was attacked at 5-30 a.m. on the 25th November, and
he died in collapse at 8-30 p.m. on the same date.
This man was convicted of theft, and on being sent to
jail he preserved an obstinate silence. His actions
were those of a sane man ; but the diffculty of believ-
ing that any man could voluntarily cease speaking
without motive was almost the only reason why he was
pronounced to be insane. A month after being placed
in the asylum he spoke rationally and intelligently. He
then relapsed into silence, and for three months never
uttered a sound. On the 16th November he complain-
ed of rheumatic pains, and his gums being spongy he
was admitted into hospital. On the 30th November he
died very suddenly. The lungs were much congested
and studded with fine miliary tubercles. The right lung
was adherent to the ribs. No other diseased organ
was found.