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One Rrea Case of Leptospirosis Autumnnalis Typus A with Conspicuous Psychic Symptoms Kansei Sato 1 , Takehiko Saho 1 , Sadaichi Miyagawa 1 1Dept. of Neurology and Psychiatry, of the Kagoshima Univ. pp.483-485
Published Date 1956/3/20
DOI https://doi.org/10.11477/mf.1406200491
  • Abstract
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The patient, a 33-year-old male, had a cycloid character. We first examined him on March, 30, 1949. He said that on Sept. 28, 1947 he was drenched to the skin by heavy rain on his way home from the city Kagoshima, a distance of about 20 kilometer by bicycle. The disease began subddenly on Oct. 1, with chills and a violent headache in the temples, followed by a rising temperature of about 39℃., which after-wards reached about 40℃. On the third day, appeared jaundice and he had dull appetite, being able to take only a small quantity of rice soup and fruit juice. Therefore, he grew very weak.

On the sixth day the fever fell. From this time on, his consciousness became cloudy, his mood was elated and he sometimes sung very loudly and sometimes delivered speeches. There occured also various sorts of hallucinations, and above all, visual and haptic disorders. Every evening these symptoms became especially remarkable (collapse delirium)

Such a syndrome disappeared after about a week. His appeite increased forthwith and the state of nutrition became better. On the contrary, after this period, there occured visual disturbances and such a high grade amnesia and disorientation, that he could not return home even from his own field, where he went to inspect it (postinfectious Korsakow's psych-osis).

He complained also of sleeplessness and a hypochondriac feeling.

By ophthalmological examination we found cataracta choreoretinitis, opasitas corporis vitrei and cataracta incipiens. After such a special sort of pathological changes in the eye, we suspected a leptospirosis, and we could prove in blood serum of the patient a positive bacte-riolytic phenomenon to Leptospira autumnalis Typus A, up to 2560-fold dilution, even 3 years after the acute symptoms of the disease disap-peared. While to L. icterohaemorrhagica was positive up to merely 80-fold dilution and to L. autumnalis Typus B and C were negative.

He recovered from the above mentioned con-dition gradually with the lapse of time. But he suffered anew from the depressive phase of manic-depressive psychosis due to home affairs, and received hospital treatment from March 9 to May 23, 1931. The insomnia and hypochon-driac feeling- which he had presented before should have been prodromal symptoms of the latter.


Copyright © 1956, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 2185-405X 印刷版ISSN 0006-8969 医学書院

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