English: Case C. — D. J. L. Boy; 14 years old. Obstinate, crying habitually and refusing to be pacified. A semi-mute, fond of mumbling to himself, while twisting and playing with strings. Became more cleanly in personal habits and able to aid in dressing himself, but would eat filth and garbage. Died of phthisis, the necropsy showed the stomach completely filled with a mass conforming to its configuration ; this mass made up of sticks, stones, paper, bark, strings, and trash of every description. First child, born at full term. Labor difficult, but without instruments. Deficient animation at birth ; was always a sickly baby; nourished by mother. Father 32 and mother 26 at birth of child. Mother extremely nervous during pregnancy. Maternal grandparents first cousins.