34
Result of examination
of finger blood.
Result of examination
of splenic blood.
GAUHATI AND ULLOOBARI—Contd.
Case 7.—Fool a Ram, man, aged 28 years ; an
out-patient at Gauhati dispensary ; has had fever
every day for the last 2 months in spite of vigorous
treatment ; is losing flesh rapidly.
Spleen 11/2 hands' breadth below costal margin.
No enlargement of liver detected.
No malaria parasites ; no
pigment ;
no
other
parasites.
Many" Leishman "
parasites ; no malaria
parasites; no pigment.
Case 8.—Hera, boy, aged 52 years ; seen at
Ulloobari, has been ill 1 year ; is emaciated and
weak, but can walk about.
Spleen 11/2 hands' breadths below costal margin.
Liver 1 inch below costal margin.
No malaria parasites ; no
pigment ;
no other
parasites.
A
few "Leishman "
parasites ; no malaria
parasites ; no pigment.
Case 9.—Mangu, roan, in-patient of Gauhati dis-
pensary, aged 38 years ; says his illness began
2 months ago with fever, diarrhœa and wasting ;
his spleen enlarged rapidly. It is difficult to
understand how anyone could be so emaciated
and yet remain alive—his bones are covered with
little more than skin and his spleen stands out
as a huge tumour. He has constant watery
diarrhœa. He died 4 days after admission.
Temperature chart XVII.
At an examination made after death innumerable
ulcers were found in the intestine from the ileo-
cæcal valve to the rectum. Some had nearly
perforated the intestinal wall. On the duodenum
and jejunum patches of congestion were found,
but no ulcer. No anchylostomes were present.
The spleen was 10 inches long and 71/2 inches
broad.
No malaria parasites ; no
pigment ; a few " Leish-
man" parasites found
enclosed in polymorpho-
nuclear leucocytes.
An enormous number of
" Leishman " parasites ;
no malaria parasites ;
no pigment.
Case 10.—Haresa, boy, aged 8 years ; an out-patient
of Gauhati dispensary ; has been ill for 7 months
with fever; great weakness and wasting.
Spleen 1 hand's breadth below costal margin. No
enlargement of liver detected.
Two Simple Tertian mala-
ria parasites found ; no
other parasites.
Numerous " Leishman "
parasites; one pigmented
leucocyte ; no malaria
parasites.
Case 11.—Taimool, boy, aged 9 years ; seen at
Ulloobari village ; extremely emaciated ; no fever
at time of examination.
Spleen enlarged beyond the umbilicus. Liver 4
inches below costal margin. The liver and spleen
are in close contact with each other.
No malaria parasites ; no
pigment ;
no other
parasites.
Many
" Leishman "
parasites ; no malaria
parasites ; no pigment.
Case 12.—Tairin, male, aged 16 years; seen at
Ulloobari village ; is too weak to stand ; has been
ill about a year ; has slight oedema of legs ;
temperature at the time of examination 98.6°.
Spleen and liver greatly enlarged.
No malaria parasites ; no
pigment ;
no other
parasites.
Numerous " Leishman "
parasites ; no malaria
parasites ; no pigment.
Case 13.—Panchkourie, man, aged 35 years ; in-
patient of Gauhati dispensary ; illness commenced
2 months ago with fever and enlargement of the
spleen ; he has no fever at present, but is very
emaciated and weak.
Spleen enlarged to umbilicus. No enlargement
of liver detected.
No malaria parasites ; no
pigment ;
no other
parasites.
Many
" Leishman "
parasites ; no malaria
parasites ; no pigment.