OBSERVATIONS ON KALA-AZAR IN KASSALA PROVINCE
TABLE A. KALA-AZAR
Case V Case VI
AGE AND SEX | S 22 $9
| NATIONALITY... Be Abyssinian Arab
if DuURATION OF ILLNESS 6 months, Oct., ’07.
VILLAGES AND Towns,
WHERE ILL (Name underlined where first ill)
TYPE OF FEVER
TYPE OF PARASITES
(Splenic Puncture)
PERIPHERAL BLooD...
LIVER...
SPLEEN “as
URINE...
COMPLICATIONS
JAUNDICE
CE DEMA
TREATMENT
PERIODS OF
IMPROVEMENT
PIGMENTATION
Hovuskr INFECTION
History
1 {
| |
No pain.
Died April 8th, ’08
Mafaza
./ Seen but once. History of tinuous fever
con-
Large number of big
parasites
No examination
. Slightly enlarged
2 inches below um- bilicus
No com- plications when seen. Constipation
. Absent. Conjunctive,
yellow
.... Absent when seen
. No improvement on
quinine, daily
15ers.
Unknown
... None
Single. Brother and brother’s wife with whom living, well
44 months, Dec., ’07. Died April 29th, ’08
Kassala
Perpetual high re- mittent, 104° to 101°
Manysmall parasites;
very many blood platelets
No malaria. Leuco- peenia
Enlarged 3 inches below costal margin
1 inch below costal margin
Albumen absent Bile absent at first,
later present
No pain
Absent
General codema marked
Quinine, 40 grs. daily,
no effect
No
None
Mother and _ two young sisters healthy. No bugs found
(Parasite Found)—continwed
109
Case VII
3 30
Sudanese
4 months (?) Autumn, ’07. Died Jan. 25th, ’08
Gharb el Gash (a Kassala suburb)
Intermittent, sub- normal, last 2 weeks
Only one typical parasite found
No malaria
Slightly enlarged
Considerably
enlarged
No albumen No bile
No pain
Absent
Not noted
Quinine, no effect
Unknown
None
No definite abode
Case VIII
o 28
Sudanese
74 months, Oct., ’07. Died May 14th, ’08
Khatmia (a Kassala
suburb), Debeleweit
Intermittent, fre- quent intervals of 2 to3days. Normal temperature
Considerable num- bers of round and oval forms, Pig- ment collections
No malaria
Enlarged. Hand’s breadth below costal margin
'1 inch below um- bilicus
Albumen Bile
No pain. Persistent terminal epistaxis
Conjunctive, yellow
Legs (terminal)
Quinine 40 to 60 gers.
daily, slight im- provement. Thymol 6 grs. daily, no effect
Yes
None
No definite abode