NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
211
History.—Had suffered a good deal from malaria, having been obliged to go away for
over a month previous November. Had enlarged spleen. About beginning
of May began to get attacks of malaria, simulating acute gastritis. Vomiting
and retching occurred every second day. Fever so slight as to be overlooked
by patient. About middle of May went to another garden on a visit. While
there attacked with severe fever. Took much phenacetin and some quinine.
Attack.—(1) Passed black and deep red urine for two days, and became somewhat
jaundiced. When a little better went for a trip, but while on the river had a
return of fever. Took grs. 20 of phenacetin, and suffered from collapse. Fever
continued. Blood examination showed small ring malarial parasites.
Attack. —(2) Urine bloody in colour. Patient would not take quinine on account of
nausea and vomiting. Euchinin obtained and administered in grs. 10 doses
(30 grs. before noon each day, at which time temperature used to rise). Urine
cleared after two days, but fever continued longer, although parasites were not
found. Convalescence complicated with dysentery. Patient recovered and went
to England.
Case XXXI. —Tezpur, Assam. Attack Black-water Fever October 1905.
A. B. T., Tea-planter, aged 35, European.
Length of residence in Assam. —About 13 years.
Length of residence in Tezpur. —About 7 years.
History.—Had suffered occasionally from severe malaria, once nearly dying from an
attack which may have been Black-water Fever. Went to England on leave
in 1903 and returned in the cold weather. Kept fairly fit during 1904, but got
attacks of fever and biliousness rather often during the rains of 1905. Had rather
a severe attack of fever towards the end of September, but did not remain from
work in consequence. Only took quinine when attacked with fever. Early in
October had a severe attack of fever, but still attempted to remain at work.
Bilious vomiting was a marked feature of this attack which was supposed to be
largely " liver." On October 6th took a purgative, and for the fever several
doses of phenacetin followed by quinine. That night had a rigor with vomiting
and passed dark urine. Got up next day, but vomiting (bilious) and fever
continued. Took more phenacetin and quinine. When seen was found to be
jaundiced, with a high temperature, a tender and enlarged spleen, and a tendency
to retch and vomit bilious matter. Temperature about 103. Blood examination
negative. Urine very dark reddish black, but in large amount. On boiling a deep
brown deposit came down half filling the test tube. After 48 hours the urine
commenced to clear the spleen rapidly reduced in size, and the jaundice largely
disappeared, but a marked bronzing of the skin remained and was still present
some months later.
212
Case XXXII. —Tezpur, Assam. Attacked December 1905.
A. B. H., Tea-planter, aged 25, European.
Length of residence in Assam.—7 years.
History. —Came to Assam in 1898. Suffered very often from malaria. Had an en-
larged spleen for several years and on one occasion passed dark urine which how-
ever was not seen by others. In 1904 changed his bungalow, going to live in one
within a short distance of a populous coolie line. While here had attacks of fever
at frequent intervals. Used to take quinine very irregularly, 20 to 30 grs. one day
because of fever, and then no more for a few days until again feeling " seedy."
Had been suffering at intervals of about 10 to 14 days for several months before
Black-water Fever occurred. On several of these occasions blood examination
showed malignant tertian infection. Ten days before the Black-water Fever
patient had a typical attack of tertian fever (36 hours' fever, a remission of
12 hours and again fever). Malignant tertian parasites were present in the
blood. Quinine was taken as before, but was shortly afterwards stopped, owing
to its being " forgotten."
Attack.—Day before attack had a return of fever, and took a dose of quinine and went
to work, and next day felt rather better. In the morning, however, took 20
grs. of quinine and went to work, but complained of feeling ill, and passed
highly coloured urine. In the evening was still at office work but felt cold, and
when seen was looking sallow and haggard. Advised to go to bed, but while
undressing had a rigor. About an hour after passed dark red urine. Temperature
rose but only to 99, slight nausea and bilious vomiting, with tenderness of
the spleen and pain at the pit of the stomach. Blood examination showed no
parasites. Urine on boiling showed a deposit of albumen half filling test-tube.
Next morning considerable jaundice observed. Great weakness present, patient
being unable to sit up or even to turn over without assistance. Towards the
evening the urine commenced to clear and by next day was apparently normal.
Temperature also came to normal very quickly, but the spleen remained
enlarged and tender for some time. Convalescence was fairly rapid, but was
marked by a great tendency to suffer from indigestion. Nine months after had
slight attack of jaundice, but no hæmoglobinuria.
Case XXXIV.—
Babu J. N. N., native shopkeeper, aged 25.
Belongs to Burdwan in Bengal, but has resided in the Mateli bazaar for the past
four years.
History. —Has had a good deal of fever. Nine months ago was away in his country
for five months. Since his return has often had slight fever and twice severe
attacks.
July 8.—Was feeling all right.
July 9.—Had fever in the evening, but took no quinine.
213
July 10.—Had fever, but no treatment.
July 11.—Had fever, but no treatment.
July 12.—Had still got fever and becoming frightened, took 3 doses of grs. 5 each
quinine. At 7-30 noticed dark urine and temperature rose from 103 to 104.6
in the night.
July 13.—When seen urine was commencing to clear. There was marked bilious
vomiting, vomit being of a dark green colour. Jaundice was marked, and the
spleen was enlarged a hand's breadth below ribs. There was not much tender
- n e s s o f t h e e p i g a s t r i u m . T h e s e r u m w a s i n t e n s e l y y e l l o w c o l o u r e d a n d o n
examination with the microspectroscope showed absorption bands similar to
urobilin. No hemoglobin could be detected in the serum at this time. Blood
examination showed no parasites on casual examination, complete examina
- t i o n h a s n o t y e t b e e n p o s s i b l e . B l o o d c o r p u s c l e s g a v e a n i s o t o n i c p o i n t o f
.425 per cent. salt solution, and gave an isolysin reaction, hæmolysing with
class A serum. The serum did not hæmolyse class A corpuscles.
227 H. D.
215
RECORD OF CASES OF BLACK-WATER FEVER IN THE DUARS.
DAM DIM DISTRICT.*
1st attack.
2nd attack.
Barons
1 Mr. C.— Assistant.
Age 28.
May 1889
. . Sept. 1889 .. Came out November 1887. Both
attacks mild. Went home shortly
after second attack. Recovery.
2 Mr. E.— Assistant.
Age 25.
October 1891 March 1892 .. Was out about 3 years. 12 months
at Baitagool, then went to Barons.
Second attack had 3 days' hæmoglo-
binuria, then 2 days' high fever
without hæmoglobinuria or anæ-
mia and this was followed by
death.
3 Mr. M.— Assistant.
Age 28.
August 1890 ..
..
Out 3 or 4 years in Sylhet, then
came to Barons. Death.
4 Mr. D.— Assistant.
Age 28.
October 1899 February 1901 Out about 5 years. 1 year at
Narkati. 2 years Rungamuttee,
then Barons. First attack went
home for 6 months. After com-
ing back had second attack, then
went Sylhet.
5 Mr. G.— Assistant.
Age 25.
May 1901 ..
. .
Was out about 3 years. Kumlai 18
months, then to Barons. Re-
mained at Barons some years, but
did not have any further attack.
Severe attack. Recovery.
6 Mrs. C.— ..
.. May 1895
. .
Sept. 1896 .. Out 2 years. States had fever
every week for the whole period.
Second attack at place near Dar-
jeeling. Recovery.
7 Mr. T.— Assistant.
Age 23.
June 1907 ..
..
Out 8 months, all at Barons. After
first few weeks in the country
suffered from repeated and severe
fever. Went later to Assam and
had second attack there. Was
sent home. Severe attack.
8 Babu H. Age 25 . . July 1902 ..
. .
2 years at Barons from country.
Recovery.
9 Babu S. G.
.. February 1904
. .
About 1 year resident. Came from
his country with wife and
daughter. Lived at North Grant.
Mild attack. Recovery.
10 Babu S. G.'s wife .. February 1904
..
Lived at North Grant. Death.
* NOTE. —Informat i on mai nl y cont ri but ed by Dr. Brown of t he Dam Di m Di st ri ct .
216
Dam Dim District—contd.
1st attack.
2nd attack.
11 Babu S. G.s daughter
Age 8.
Sept. 1903 .. Dec. 1904 .. Lived at North Grant. Death.
12 Babu N. D. G.
..
. .
..
8 or 9 years in Duars. Went
to visit country, had Black-water
Fever after coming to Barons.
Sissibari
13 Mr. W..— Assistant.
Age 26.
October 1901
. .
Out 2 years, all at Sissibari. Two
days' continuous hæmoglobinuria
with polyuria. Death.
14 Mr. F.— Assistant.
A g e 2 6 .
Sept. 1906 .. Dec. 1906 .. Had been out in the Chelsa Dis-
trict some years. Went home
and came out to Sissibari. Attack-
ed 18 months after. Left district
6 months after. Second attack.
First attack severe. Second attack
mild, lasting few hours. Recovery.
15 Mr T.— Age 35 .. January 1889
. . Called "Yellow Fever."
16 Babu. Age 28
..
..
..
8 years in Duars. Short time only
at Sissibari. Hæmoglobinuria
lasted 2 days, clearing on the 3rd.
Baintbari
17 Mr.. C.— Assistant.
Age 26.
Nov. 1889 . .
..
Out 2 years, all at Baintbari. At-
tack was severe, lasting about 2
days. Recovery.
Bullabari
18 Mr. S.— Assistant.
Age 28.
January 1897
..
2 years in Duars. Born and lived
previously in Darjeeling. Had a
relapse in both attacks without
administeration of quinine. Pa-
tient being in charge of a nurse.
First attack lasted 2½ days ;
there was an interval of 1 day,
then hæmoglobinuria for 2 days,
but not so severe as at first.
Second attack lasted about the
same time. After second attack
had fever for about 4 days. At this
time had 2½ grs. quinine every
three hours subcutaneously, but
no Black-water Fever ensued.
19 Babu's cook
.. October 1905
..
. . . .
20 Babu
..
.. February 1907
. .
. . . .
21 Mr.. G.— Manager.
A g e 4 0 .
..
. . Out 17 years. Barons 9 months.
Rungamuttee 5 years. Neora
Nuddy 1 year. Rest of the time
at Bullabari. Went home about
2 years before attack for 8
months. Attack lasted 2½ days, but
amount of hæmoglobinuria small.
Mild attack. Recovery.
217
Dam Dim District—contd.
1st attack.
2nd attack.
22 Servant ..
.. Unknown .. August 1907 First attack mild. Second attack
seen by us after death.
23 Mrs. G.— ..
.. July 1896 ..
. .
6 months in Duars. Suffered great-
ly from fever, but quinine not
taken on account of pregnancy.
24 Mr. S.— Assistant.
Age 28.
January 1897
. .
2 years in Duars ; all the time at
Bullabari. Death.
Ranacherra 25 McK.— Child. Age
3 years.
August 1905
..
Attack lasted about 18 hours.
Hæmoglobinuria slight. Born at
home ; came out age of 3 months.
Mild. Recovery.
26 Chinaman— Case
IX.
Sept. 1906 .. October 1907
. . . .
Rungamuttee 27 Chinaman ..
. . Dec. 1904 ..
. .
Attack lasted about 2 days. Re-
covery.
28 Chinaman ..
. . Unknown ..
. .
Attack lasted about 2 days. Re-
covery.
29 Chinaman ..
. . Unknown ..
. .
Attack lasted about 2 days. Re-
covery.
30 Babu's son. Age 18 April 1894 ..
. .
Had been in the district about 2
years. Attack lasted 1½ days.
31 Barber
.. July 1907 ..
. .
In the district 12 or 15 years.
Constant change of garden.
Suffers now from tingling in
hands and feet with attacks of
numbness.
Meenglas 32 Mr. W.— Assistant.
Age 22.
Dec. 1904 .. October 1905 Out 2½ years ; all the time at Meen-
glas. First attack lasted only 6
hours. Second attack severe,
lasting 3 days. Recovered from
hæmoglobinuria, but death took
place after subsequent fever
which occurred 2 days after
attack and lasted 4 days. Inter-
val of 2 days normal tempera-
ture. Death.
33 Mr. D.— Manager.
Age 34.
Sept. 1906 ..
. .
8 years ; out all the time at Meen-
glas in same bungalow. Went
home 2 years previously. Sup-
pression. Death.
34 Babu's servant —
Second attack—
Case III— Vide Bul-
labari.
227 H. D.
3
I
218
Dam Dim District—contd.
1st attack.
2nd attack.
35 Mussalman bearer—
Case VI.
August 1907 ..
. .
Attack over in less than 24 hours.
36 Babu—Case V
.. August 1907
..
20 years in the Duars.
Pathajora
37 Mr. H.— Manager.
Age 45.
April 1899 ..
. .
Had been out 1 year, then went
home for a few months and had
an attack 8 months after return.
Attack lasted 2 clays. Death
from suppression. Severe case.
Death.
38 Malpaharia Sirdar—
Case XII.
April 1899 ..
. .
15 years on garden.
Hahiapathia 39 Dr. Babu ..
.. Unknown .. Unknown .. 8 years in the district. Had 3
previous attacks. Fourth in
November 1905.
40 Babu
. .
.. January 1908
. .
5 years in Duars. At upper Cheng-
marie, then 10 months at Hahia-
pathia.
Toonbarri .. 41 Mr. M.— Manager.
Age 27.
Dec. 1887 ..
. .
Out 3 or 4 years, about 2 years at
Toonbarri. Attack lasted about
3 days. Severe. Recovery.
42 Babu's daughter.
Age 9.
June 1907 ..
..
. . . .
Baithagool
(abandoned).
43 Mr. McB.—Assistant..
Age 23.
May 1888 .. October 1889 Came out in 1887. Barons. Rung-
amuttee 6 months ; 2 or 3 weeks
only at Baithagool. Attack
lasted 2 days.
Sungachi
44 Mr. W.— Assistant.
Age 22.
July 1905 .. Nov. 1905 .. Out 18 months ; all the time at Sun-
gachi. Second attack lasting 8
hours, occurred during recovery
from typhoid. Temperature rose
to 106 and polyuria followed. Re-
covery.
Bagracote .. 45 Mr. D.—Assistant.
Age 25.
January 1900
. .
Out 2 years ; all at Bagracote.
Actual attack occurred at Jalpai-
guri. Lasted 2 days.
46 Babu Bhose
. . .. October 1901
. .
Attack lasted 1½ days.
47 Dr. Babu—Case VIII Sept. 1907 ..
. .
Chalouni 5 years ; went to his
country for several months and
on returning went to Bagracote.
Attack 2 or 3 months after com-
ing to garden.
Washabari .. 48 Khitmatgur
.. October 1899
. .
Was given hypodermic quinine
when urine was very black ; next
morning urine cleard up.
219
Dam Dim District —contd.
1st attack.
2nd attack.
Neora Nuddy 49 Mr. P.—Manager .. Sept. 1897 ..
. .
Frenchman. In the district 8
months ; came from Pondicherry.
Attack lasted 18 hours. Re-
covery.
50 Mr. L.—Age 32 .. October 1905 Dec. 1906 .. Out 10 years. Left Sungachi
December 1904; went for 6
months to recruiting district
(Santal Parganas). Took charge
at Neora Nuddy April 1905.
Both attacks lasted 12 hours.
Mild. Recovery.
51 Mr. S.—Manager.
Age 38.
January 1907
. .
Out 10 years. Went to Neora
December 1901. Went home and
came out end of 1902 ; stayed at
Neora and had fever. 1905 went
to Sungachi for 12 months and
had very healthy year. Begin-
ning of 1906 went again to Neora
and had repeated fever coming
at shorter and shorter intervals
till Black-water Fever supervened.
Attack lasted 6 hours. Mild.
Recovery.
52 Head Babu
.. Nov. 1904
. .
. .
Out 18 months or 2 years. Went
afterwards to Hahiapathia. Re-
covery.
53 Lachman Nagpuri
(tea man).
..
..
Stated to have had 2 or 3 mild
attacks.
Glencoe
54
Mrs. B.—
..
July 1907
. .
. .
Out 1 year 9 months ; all the time
at Glencoe. Attack lasted 2
days. It actually occurred at
Jalpaiguri. Severe. Death.
55 Mr. R.—Assistant.
Age 26.
June 1900 ..
. .
Severe. Death.
Manabari .. 56 Mr. R.— Assistant.
Age 28.
Dec. 1903 .. Nov. 1904 and
August 1905.
3 years out when first attacked ; all
the time at Manabari. First
attack severe. Third attack mild.
Recovery.
57 Dr. Babu—Case XI ;
Case XXVII.
October 1907 July 1908 ..
. . . .
Ghora Bhutan 58 Mr. T.—Padre. Age
36.
Dec. 1906 ..
. .
Had lived in Darjeeling Terai
some time. Went home ; came
to Duars and was attacked 1
year after arrival. Attack lasted
3 days. Ghora Bhutan only head-
quarters ; spent much time travel-
ling in Duars. Severe. Death.
220
Dam Dim District—concld.
1st attack.
2nd attack.
Needam Jhora 59 Babu
..
.. February 1904
..
Attack lasted 3 days. Severe.
Death.
Ellenbarri .. 60 Mr. S. —Manager.
Age 40. Case XXI.
February 1908
..
Was at Paskowa since 1903.
Went home 1905 and came out
in December 1905 and went to
Fllenbarri December 1907. At-
tack lasted 2 days with relapse
following 5 days after first attack
ended. Severe. Recovery.
Baintguri
61 Mohamedan bearer.
Age 32. Case XIX.
Dec. 1907 ..
. .
12 years in Duars. Came to Baint-
guri 5 months ago and was living
at Chota bungalow until 6 weeks
before attack. Attack lasted about
12 hours. Mild. Recovery.
Phoolbari
62 Mr. D.—
.. October 1895
. .
About 2 years in the Duars.
63 Mr. F.—
..
..
. . . .
. . . .
Gheish River 64 Negro (half-caste).
Age 35.
..
..
Working on railway 4 or 5 years
in district.
Latiguri
65 Daughter of above.
Age 8.
..
. .
Came out to father about 2 years
before attack.
Chelsa District. *
1st attack.
2nd attack.
Nagasuri
66 Mr. G.— Assistant.
Age 22.
July 1898 ..
. .
2 years in the country ; all at Naga-
suri Chota bungalow. Had fre-
quent almost daily attacks of
fever. Recognised by his com-
panions as unusually liable to
attacks. Onset of hæmoglobi-
nuria sudden, red urine being the
first symptom. Duration 80
hours. Severe. Recovery.
67 C.— Child. Age 6 Nov. 1898 ..
. .
6 months in the Duars. Burra
bungalow. Hæmoglobinuria not
intense. Slight. Recovery.
68 Head Babu. Age 39 June 1902 ..
. .
Had been at Nagasuri since
1893. Hæmoglobinuria 48 hours.
Severe. Recovery.
*NOTE.—Information contributed by Dr. Mc Cutcheon, Chelsa District.
221
Chelsa District—contd.
1st attack.
2nd attack.
69 Bhutia woman .. Dec. 1902
. .
. . Living in lines at Chota bungalow
suffering from fever for a week
before attack. Severe. Death.
70 Dr. Babu's wife .. Sept. 1906 ..
. . Passing backwards and forwards
to country. Hæmoglobinuria
56 hours. Recovery.
71 Babu
..
..
October 1907
..
15 months from Cooch Behar.
Hæmoglobinuria transient.
Slight. Recovery.
72 Babu—Case XXV .. May 1908 ..
. .
4 years in country. Last year
in Nagasuri. Hæmoglobinuria
lasted 3 days.
Chalouni
73 Babu. Age 25
.. Sept. 1898 ..
..
On the garden for 3 or 4 years.
Attack of ordinar fever 3
days before. Hæmoglobinuria
ceased second day.
74 Dhobie
.. .. October 1900
..
Hæmoglobinuria lasted 3 days.
75 Dhobie
.. .. October 1907
..
Hæmoglobinuria about 24 hours.
Engo
76 Eurasian. Age 30 .. Sept. 1898 June 1900 .. 5 years at Engo. Hæmoglo-
binuria lasted about 24 hours.
Recovery. Second attack at
Tissati. Death.
Chelsa
77 Mr. T.— Assistant.
Age 24.
June 1898 .. 1900
.. 3 years in the country. At
Sam Sing there about end of
1898 to Chelsa Chota bun-
galow (recovery). Second attack
on way home. Death.
78 Mr. D.— Assistant.
Age 25.
. .
Sept. 1901 .. 4 or 5 years in Duars. Pre-
viously at Bagracote. ( Vide
no. 45.)
Sathkaya
79 Miss C.— Age 22 Sept. 1900 ..
. .Second year in India ; all the time
at Sathkaya. Used to get
attacks of "billious fever." Living
at Bara bungalow.
Kilkott
80 Dr. Babu ..
.. October 1901 1903 and
January 1907.
2 or 3 years in the country.
Hæmoglobinuria remitted a num-
ber of times. Recovery.
Moortee
81 Babu
. .
.. May 1907
. .
. .6 or 8 years in the country.
Hæmoglobinuria lasted less than
24 hours.
82 Dhobie
. .
.. Dec. 1906 ..
..
Slight and transient hæmoglo-
binuria.
227 H. D.
3K
222
Chelsa District—concld.
1st attack.
2nd attack.
Mytelie
83 Mr. T.— Assistant.
Age 24.
August 1899
..
In second year. Chota bungalow.
Used to get occasional slight
fever. Hæmoglobinuria lasted 2
days. Recovery.
Baradighi
84 Babu. Age 30. Case
XVIII.
Dec. 1907
. .
. .
9 years in the country. 2 or 3
months at Baradighi. From
home 15 months before. Hæ-
moglobinuria lasted about 12
hours.
85 Babu. Age 28. Case
XVII.
Dec. 1907
. .
. .
8 years in the country ; last re-
turned from leave December 1906.
Hæmoglobinuria lasted about 12
hours with slight relapse. Had
been 6 weeks only at Baradighi.
Nagrakata District.
1st attack.
2nd attack.
Looksan
86 Mr. C.— Assistant
Aged 23.
Nov. 1906 ..
..
Resident in Duars 2½ years, 3
months at place of attack.
Had malaria and "liver" from
time to time, and states that he
had a mild attack of Black-water
Fever 14 months previously. Be-
fore this last attack had had two
attacks of fever, subsequent to
which he had not taken any
quinine, until November 10,
when he took grs. 10. On the
morning of the 12th he passed
black urine. He was found to be
jaundiced, with spleen and liver
enlarged and tender, and pain
over the loins. At one time tem-
perature rose to 108, but fever
ceased on 5th day. A remark-
able feature of this case was the
occurrence of double amblyopia,
from which patient subsequently
recovered.
Chengmarie 87 Babu. Aged 23 .. July 1907 .. Nov. 1907 .. Had been 3 years in Duars, only
6 months at Chengmarie, and at
Neora Nuddy previously. Had
fever two days before attack
and took quinine. When seen
admits having had fever every
month for past 3 years. Temper-
ature rose to 105, jaundice marked
223
Nagrakata District—contd.
1st attack.
2nd attack.
and spleen enlarged 3 fingers
below ribs. No parasites were
found in the blood. It was
noticeable that three severe rigors
occurred before onset of dark
urine, which was gradual. Had
fever several times afterwards
and two days before second
attack.
Nagrakata
88 European child. Aged 51 October 1907
..
Had passed all her life in the
Duars. Had three days fever
and passed black urine after
quinine on the 4th day. A very
transient attack with a slight
relapse on the 3rd and 6th day
afterwards. Blood examined on
the 14th day (after attack) showed
quartan parasites. Spleen was
considerably enlarged and rest-
lessness was a marked feature.
Recovered.
Chengmarie 89 Uriah mali. Aged 35 July 1907 ..
. .
Had been 3 years in Duars.
1½ years at Ghatia and 1½ years
at Chengmarie. Occasional
attacks of fever and spleen 3
fingers breadth below ribs.
On July 6th got fever, but had
no treatment as he lived alone.
Passed very dark urine on the 27th
On the 28th had grs. 5 calomel
but no quinine. Became comatose
on the 30th. Liver enlarged,
spleen very tender. Suppression
took place and death ensued.
Post-mortem showed evidence
of recent malaria in the organs ;
more fully described among our
own cases.
Bhamandanga 90 Mr.W. —Assistant .. August 1903
. .
Had only been out in the country
about 8 months when Black-water
fever occurred and he died.
Hilla
91 Babu
. .
..
August 1901
. .
Had previously had what may
have been a slight attack of
Black-water Fever. Death. Was
in Assam in 1900.
Ghatia
92 Babu
..
.. August 1901
..
Length of residence in Duars not
known. Death.
Ghatia
93 Mrs. C.— ..
..
1904
..
Particlurs not yet to hand.
The above cases are extracted from notes furnished by Dr. Stone of Looksan, Nagrakata Duras.
224
Nagrakata District—concld.
1st attack.
2nd attack.
Nagrakata
94 Mr. B.— ..
. . July 1896
..
. .
Had previously had an attack
while at Kolabari. Had been at
Nagrakata since the end of
1892, but had changed bungalows
and had lived at the Bara
bungalow for 18 months.
States that he kept good health
and was very fit. In March
1905 was away for a sea trip.
Used to get attacks of headache
coming on suddenly and last-
ing half a day. Black-water Fever
came on after a sharp attack of
fever which began 2 days before
the Black-water Fever. Had not
taken quinine regularly, only
occasionally when fever occurred.
Recovery.
Nagrakata
95 Mr. O.— ..
. . Dec. 1901 ..
1902
. . Had previous attack of Black-water
Fever in 1896. Went home on leave
in 1898 returning at the end of
the year. Used to get a good
deal of fever and " liver ". Had
three attacks of Black-water Fever
in six years, but since quinine
grs. 5 has been taken daily has
had no further attack during
past six years.
Carron
96 Mr. M.— Assistant October 1891
..
. .
Had been 3 years 7 months in the
Duars, distributed as follows :
2¼ years at Chalouni, where he
got a lot of fever, and 16 months
at Carron. Didn't get much high
fever here, but a lot of bilious-
ness and vomiting and yearly crops
of boils. Never took quinine re-
gularly and for fever not more
than 10—15 grs. in 24 hours.
Black-water Fever followed a ten-
day bout of low fever with bilious-
ness, and lasted 5 days. The
doctor came on the 3rd day, and
after bringing temperature down to
100 with grs. 15 antipyrin gave a
dose of grs. 30 quinine, followed
by 20 grs. doses every 4 hours.
Next day reduced dose to grs.
10. Made an uneventful recovery.