All 3 Uses

acute
in
The Fall of the House of Usher
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The writer spoke of acute bodily illness...
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acute = a severe illness with a rapid onset
Said I not that my senses were acute? I now tell you that I heard her first feeble movements in the hollow coffin.
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acute = highly perceptive
He suffered much from a morbid acuteness of the senses; the most insipid food was alone endurable; he could wear only garments of certain texture; the odors of all flowers were oppressive; his eyes were tortured by even a faint light; and there were but peculiar sounds, and these from stringed instruments, which did not inspire him with horror.†

Definitions:

(1) (acute as in: acute pain)
sharp (severe or strong) -- usually negative
(2) (acute as in: acute sense of smell)
sharp (highly perceptive in some area or mentally sharp)
(3) (acute angle as in: an acute angle)
ending in a narrow point or angle; or describing an angle measuring less than 90 degrees
(4) (meaning too rare to warrant focus)