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in which the temperature reached 107.8 degrees F. Wilson Fox, in mentioning a case of rheumatic fever, says the temperature reached 110 degrees F. Philipson gives an account of a female servant of twenty-three who suffered from a neurosis which influenced the vasomotor nervous system, and caused hysteria associated with abnormal temperatures. On the evening of July 9th her temperature was 112 degrees F.; on the 16th, it was 111 degrees; on the 18th, 112 degrees; on the 24th, 117 degrees (axilla); on the 28th, in the left axilla it was 117 degrees, in the right axilla, 114 degrees, and in the mouth, 112 degrees; on the 29th, it was 115 degrees in the right axilla, 110 degrees in the left axilla, and 116 degrees in the mouth The patient was discharged the following September. Steel of Manchester speaks of a hysteric female of twenty, whose temperature was 116.4 degrees. Mahomed mentions a hysteric woman of twenty-two at Guy's Hospital, London, with phthisis of the left lung, associated with marked hectic fevers. Having registered the limit of the ordinary thermometers, the physicians procured one with a scale reaching to 130 degrees F. She objected to using the large thermometers, saying they were "horse thermometers." On October 15, 1879, however, they succeeded in obtaining a temperature of 128 degrees F. with the large thermometer. In March of the following year she died, and the necropsy revealed nothing indicative of a cause for these enormous temperatures. She was suspected of fraud, and was closely watched in Guy's Hospital, but never, in the slightest way, was she detected in using artificial means to elevate the temperature record. In cases of insolation it is not at all unusual to see a patient whose temperature cannot be registered by an ordinary thermometer. Any one who has been resident at a hospital in which heat-cases are received in the summer will substantiate this. At the Emergency Hospital in Washington, during recent years, several cases have been brought in which the temperatures were above the ordinary registering point of the hospital thermometers, and one of the most extraordinary cases recovered. At a meeting of the Association of American Physicians in 1895, Jacobi of New York reported a case of hyperthermy reaching 148 degrees F. This instance occurred in a profoundly hysteric fireman, who suffered a rather severe injury as the result of a fall between the revolving rods of some machinery
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