78 
the head; case 6 complained of headache, backache, and legache, and 
general aching and pain; case T complained only of headache, pain in 
the abdomen and back of the neck; later (June 8) pain in the neck disap- 
peared, but on June 9, and on June 15, patient complained of pain in 
the knees; case 11 complained especially of pains in the neck and 
lumbar region; case 12 complained of great soreness all over the body, 
the feet were exquisitely tender, and continued so until he left the 
hospital. 
MIND. 
Idaho . — The mental processes become dulled and the patient is listless and apa- 
thetic (Bowers, 1896, p. 64). 
Montana . — In all attacks attaining a marked degree of severity the patient’s mind 
is affected, first noticeable from incoherent and rambling speech when the tempera- 
ture happens to be high, and if the case be dangerous in severity the disturbed 
thought sooner or later merges into delirium, usually followed by coma and death 
(Gwinn, 1902). 
According to Anderson (1903a, p. 507; 1903c, p. 23) the mind is usually clear, even 
in severe cases, until within a few hours of the end (see cases 89, 116-121). 
Case ,7 (1904) was reported as answering questions intelligently up 
to within a few hours of death. Illusions were reported for case 4 on 
13; on loth, illusions, weariness, and sleeplessness; illusions dis- 
appeared on May 19; case 3 showed stupor on May 12. 
DELIRIUM. 
Idaho . — Delirium occurs in severe cases; it is of a typhoid character, and due to 
fever or to toxemia (Bowers, 1896, p. 64). 
Montana . — See also Hind, page 78. 
According to McCullough (1902, p. 226) delirium usually manifests a very active 
part in the symptoms, and may be low and muttering, or only a mental hebitude, 
the patient being partially rational. Anderson (1903c, p. 12) reports marked delir- 
ium for case 36 (Buckley’s case, 1897); case 74 (Putney’s case, 1900) showed delirium 
about the fourth day (p. 14); case 102 (McGrath’s case, 1902) was delirious much of 
the time after the fourth day (p. 11). Gates (1903, pp. 48, 50) records slight delir- 
ium in one case; in another case a muttering delirium and a semicomatose condition 
were among the early and prominent symptoms. Later (1905, pp. 115) he reports 
that the delirium in his case Xo. 7 (1901) lasted for two weeks. 
In 1904 case 1 presented delirium, which soon passed to coma; delii’r 
ium was present in cases 2, 3, and 6; in case 9 the mind wandered and 
passed to delirium; in case 11 the delirium was at times violent; case 
12 showed delirium at no time, but case 13 was delirious. 
COMA. 
Coma and death usually follow the delirium (Gwinn, 1902). According to Ander- 
son (1903a, p. 507; 1903c, p. 23), quoted from Wilson and Chowning (1903a), case 37 
(Howard’s case, 1898) was entirely comatosed for 3 days; case 8 (Gwinn’s case, 
1899) showed a semicomatose condition as an early sympton; case 118 (1903c, p. 28) 
passed into a state of semiconsciousness, gradually increasing to total uncon- 
sciousness, which gradually passed away, having lasted 72 hours. Gates (1903, 
