temperature reached as high as 114
degrees. Although under the circumstances, as any rational physician
would, Mackenzie suspected fraud, he could not detect any method of
deception. Finally the woman confessed that she had produced the
temperature artificially by means of hot-water bottles, poultices, etc.

MacNab records a case of rheumatic fever in which the temperature was
111.4 degrees F. as indicated by two thermometers, one in the axilla
and the other in the groin. This high degree of temperature was
maintained after death. Before the Clinical Society of London, Teale
reported a case in which, at different times, there were recorded
temperatures from 110 degrees to 120 degrees F. in the mouth, rectum,
and axilla. According to a comment in the Lancet, there was no way that
the patient could have artificially produced this temperature, and
during convalescence the thermometer used registered normal as well as
subnormal temperatures. Caesar speaks of a girl of fifteen with enteric
fever, whose temperature, on two occasions 110 degrees F., reached the
limit of the mercury in the thermometer.

There have been instances mentioned in which, in order to escape
duties, prisoners have artificially produced high temperatures, and the
same has occasionally been observed among conscripts in the army or
navy. There is an account of a habit of prisoners of introducing
tobacco into the rectum, thereby reducing the pulse to an alarming
degree and insuring their exemption from labor. In the Adelaide
Hospital in Dublin there was a case in which the temperature in the
vagina and groin registered from 120 degrees to 130 degrees, and one
day it reached 130.8 degrees F.; the patient recovered. Ormerod
mentions a nervous and hysteric woman of thirty-two, a sufferer with
acute rheumatism, whose temperature rose to 115.8 degrees F. She
insisted on leaving the hospital when her temperature was still 104
degrees.

Wunderlich mentions a case of tetanus in which the temperature rose to
46.40 degrees C. (115.5 degrees F.), and before death it was as high as
44.75 degrees C. Obernier mentions 108 degrees F. in typhoid fever.
Kartulus speaks of a child of five, with typhoid fever, who at
different times had temperatures of 107 degrees, 108 degrees, and 108.2
degrees F.; it finally recovered. He also quotes a case of pyemia in a
boy of seven, whose temperature rose to 107.6 degrees F. He also speaks
of Wunderlich's case of remittent fever,