36
.
Result of examination
of finger blood,
Result of examination
of splenic blood.
TEZPUR AND THE SURROUNDING
DISTRICT—Contd.
Case 19.—Mohesa, girl, aged 11 years; an out-
patient of Tezpur dispensary ; has been ill 11/2
years and is very emaciated and anæmic.
Temperature normal at time of examination.
Spleen extends completely across the abdomen ;
the edge of the liver cannot be felt as distinct
from that of the spleen.
No malaria parasites ; no
pigment ;
no other
parasites.
A considerable number of
" Leishman " parasites ;
no malaria parasites ;
no pigment.
Case 20.—Nidhia, boy, aged 17 years; admitted
into Tezpur hospital 30th June 1904 ; his first
attack of fever began 9 months ago, since then
he has had very frequent attacks ; now has very
severe dysentery, from which he died three days
after admission.
Spleen 11/2 hands' breadth below costal margin. N o
enlargement of liver detected.
At an examination made after death the spleen
was found to weigh 2 lbs. 11 ozs. and the liver
4 lbs. 9 ozs. Two large ulcers, one of which had
perforated the intestinal wall, were found in the
colon. The small intestines appeared normal, but
contained many round worms. No anchylostomes
were found.
No malaria parasites ; no
pigment ; no other para-
sites.
A fair number of " Leish-
man " parasites ; no
malaria parasites ; no
pigment.
Case 21.—Kiramat Ali, aged 21 years ; seen in
Tezpur town, has been ill one year. He is able to
walk about, but has constant fever ; is exceedingly
emaciated and has œdema of the feet ; he has the
characteristic anxious expression of kala azar
patients ; there is a chronic ulcer on his left foot.
Spleen beyond umbilicus. No enlargement of
liver detected.
No malaria parasites; no
pigment;
no ether
parasites.
Numerous " Leishman "
parasites; no malaria
parasites ; no pigment.
Case 22.—Anandi Ram, aged is years ; seen in
Parbatia village ; has been ill for 7 months with
fever, enlarged spleen and wasting. Tempera-
ture at time of examination 99.6°.
Spleen beyond umbilicus ; liver 2 inches below ribs.
No malaria parasites; no
pigment ;
no other
parasites.
Many
"Leishman "
parasites ; no malaria
parasites ; no pigment.
Case 23.—Oosman, boy, aged 12 years ; brother of
Kiramat Ali (case 21); seen in Tezpur town ; has
been ill 6 months ; has cancrum oris and is too
weak to leave his bed.
Spleen beyond umbilicus. Liver 2 inches below
costal margin.
No ,malaria parasites; ;
no pigment ; no other
parasites.
A large number of
" Leishman " parasites;
no malaria parasites ;
no pigment.
Case 24.—Abu, girl, aged 15 years ; seen in
Tezpur town ; has been ill 9 months ; says she
caught the disease at Mangaldai ; is very
anæmic, weak and emaciated.
Spleen beyond umbilicus. Liver palpable.
No malaria parasites ;
no pigment ; no other
parasites.
Many
" Leishman "
parasites ; no malaria
parasites ; no pigment.
Case 25.—Mohisa Mal, aged 35 years ;a n i n m a t e
of the Tezpur Lunatic Asylum. In March 1904
he began to get fever every day, the temperature
ranging between 100° and 104° ; his spleen and
lever enlarged rapidly and he became very ema-
ciated ; early in June he began to suffer from
severe diarrhoea from which he died on June
14th.
.
Temperature chart XIII.
No malaria parasites ;
no pigment ; no other
parasites,
Many
" Leishman "
parasites ; no malaria
parasites ; no pigment.