108
TABLE A.
| Case I
AGE AND SEX | 3 23
NATIONALITY... ae | Abyssinian
DuURATION oF ILLNESS 2 years, Autumn, ’05. Died Nov. 6th, 07 |
VILLAGES aND Towns Addayagi (Hrithrea), | WHERE ILL Kassala, Golsa, (Name underlined Kagsala, Debelweit, where first ill) Kassala |
TYPE oF FEVER . Temperature usually
sub-normal. Occa- sional rises to 101° to 105° for 1 to 2 days
Type or Parasites Considerable num- | (Splenic Puncture) bers, mainly free. | Long oval forms | mainly
PERIPHERAL BLoop... No malaria. No | Leucocytosis. No, parasites in white | cells
i
LivER... Not enlarged, ap- parently reduced in size
SPLEEN 1 inch below um- bilicus
URINE... . Albumen | Bile absent
COMPLICATIONS Diarrhea. No pain
J AUNDICE . Absent. Conjunctive,
yellow |
CEDEMA Feet (terminal) |
TREATMENT Quinine no effect. Heavy and in- creasing doses of | HgCl, useless
PERIODS OF Yes IMPROVEMENT
PIGMENTATION . None .
Houser INFECTION Single. All living in HIsToRy hosh well. No bugs | found |
OBSERVATIONS ON KALA-AZAR IN KASSALA PROVINCE
KALA-AZAR. (Parasite Found)
Case II Case IIT Case IV
3 25 | 325 3 26
Egyptian Abyssinian Arab, Maria Tribe
34 months, Oct., 07. Died Feb. 4th, ’08
Kassala
High fever 4 weeks,
then 98° to 99° for 5 weeks — then higher fever,seldom coming to normal
Few well-developed parasites
No malaria. Leuco- peenia. sites in white cells
Enlarged. Two fingers’ breadth be- low costal margin
11 inch below costal margin
Albumen absent Bile absent
| Pseudo - diphtheritic
tonsillitis. Duodenal ulcers, with epi- gastric pain
Absent. Conjunctive,
yellow
Absent
Quinine apparently beneficial at first. Later Atoxyl and HgCl, injections to- | gether with Fuch- sine pills
Yes
None
Single. Other soldiers healthy, but much malaria. | No bugs 5
No para- |
24 years, Autumn, ’05
Azzein
Karkabel, Kassala
(Erithrea),
Intermittent fever,
| Well developed, none
found in cells
| No malaria, Leuco-
peenia, almost mononuclears
Not enlarged
inch below um- bilicus. Tender 1
Albumen trace | Bile
Very collapsed. Died
5 days after ad- mission. No pain
|
!
| Feet (terminal)
Admitted Aug. 14th,
| 1907, with fever. | 30 grs. and injec-
| quinine | | given. Temperature — tions of
Died Dec. 22nd, ’07 |
followed by normal |
all |
|8 months, Aug., ’07.
Died Mar. 24th, ’08
Mafaza Glodet,
High intermittent fever
Extremely few found. Pigment collection
No malaria.
Leucopeenia
'Enlarged 1} inch
| below costal margin
| 2 inches below costal
margin
| Albumen
; Bile
|
' Pains in shin bones.
Kpistaxis
Legs (terminal)
| Quinine had no effect.
| Atoxyl and sub- limate injections to- gether with Fuch- sine pills normal after 8 days |
\ | and patient dis- charged well. Re- admitted Dec. 18th, 1907
| Yes, very marked
|
| None
Single. No definite | abode
Yes
None
| Single. Case Y. lived
in police lines. Bugs denied
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