270 
The Philippine Journal of Science 
1921 
perature rises rapidly, and the patient is as ill as in the preceding 
case, and the course and the termination of the affection are 
much the same. 
It must be clearly understood that elephantoid fever may 
take place without any external signs of lymphangitis; on the 
other hand, very often there are definite signs of inflammation 
s 
d 
E 
. 8 - 
“D 
in a lymphatic region, although occasionally these are limited 
to the one physical condition of tenderness. Although elephan- 
toid fever has been classified as an entity separate from lym- 
phangitis, it is a question whether there is not in every case 
an affection of the deep or superficial lymphatics. 
During these attacks there is often severe headache, delirium, 
and anorexia. Predisposing causes to an attack are a severe 
