English: Original caption: “Patient ill eight and one half months with epidemic meningitis. This photograph illustrates the chronic stage of epidemic meningitis frequently seen before the introduction of the serum treatment. This patient hat not been treated with serum. She was unconscious during the last seven months of her life. Note the painful, blank, sardonic expression; the retraction of the upper eyelids; the retraction of the head; the extrem emaciation; the retracted boat-shaped abdomen; the enlarged knee joints and the flexure of all of the joins. She succumbed ten days after this photograph was taken.”