14, a few râles at right base.
15, pains in elbows, knees and hands with joint swelling; moist râles; temp. 38.4; pulse 140. Digitalon.
16 and 17, serum erythema of thorax; edema of left knee; pulse 150; spartein 16.
17, ice pack over heart.
18, edema of knee diminished; no headache, delirium or pupillary sign.
19, improvement. Temperature normal thereafter.
20 and 21, fine râles. Then all symptoms disappeared.
Recovery was predicted, but on January 28 it was observed that the patient was untidy, made mistakes in dressing, such as trying to put his legs into the armholes of his shirt, and denied the most evident facts: His képi on his head, he said it was not. Face drawn; skin yellow. Appearance of asthenia. Deep depression and hebetude. At this time the knee-jerks were exaggerated, pupils unequal, vermicular tremor of tongue; the patient walked on a broad base with tremulous legs suggesting contracture and weakness.
February 8, in a similar state the patient wandered about his room, moving his bed and chairs about, answering questions with an absent air. He had now been taught to be less untidy.