TABLE B—SUSPICIOUS KALA-AZAR CASES
Case I Case II | Case ITI Case IV Case V | Case VI AGE AND SEX! $ 35 - 11 dy 1G go 26 $ 22 ?
NaTIonauity| Sudanese Abyssinian | Abyssinian Egyptian
VILLAGES Gharb-el-Gash Gallabat ‘ Mafaza, Geili Mafaza | Mafaza AND ‘Towns (a Kassala Gallabat tte e : WHERE ILL | suburb) ' f / DURATION No _ history.|2 years. Seen 1} years. |Six months, August, 1907.| Fivemonths, Several mos. or Intness| Admitted] only once Seen but} Died Feb. 1908 | Aug.,1907.| Died Dec. | moribund. once | Died Dec.| 27th, 1907 Removed by 12th, 1907 | friends, Died | outside TYPE OF (?) Subnormal | 99° when seen No fever) Periods of fever 100° to|Continuous,| Fever _ pre- FEVER | 36 hours when 102°, alternating with! remittent,| sent, type seen periods of normal 100°-103° | unrecorded Buoop Ex- Not examined | Spleen puncture.’ Peripheral| Peripheral blood. No _ -- AMINATION | No malaria,; blood. No} malaria. Leucopenia | no kala-azar.| malaria. | | | Many blood! Leuco-
| platelets peenia HovusE Unknown | Motherwell,baby Unknown | ( Case IV, an Egyptian official; Case V, his male INFECTION brother enor- | servant; Case VI, his female servant—all History mous _ spleen, , from one compound. All died within three but well nour- ! months of one another — Considerably | ished Much
: enlarged | Enlarged enlarged | Not enlarged Enlarged _| Not enlarged Sp Pkaw ' { Considerably | Considerably Much Enlarged | Considerably Not enlarged “|| enlarged enlarged enlarged enlarged ConpITION Very weak and! Marked wasting Very weak | Emaciation and weakness | Progressive General AND ComPLI-| wasted. Con-; and weakness. andema-| marked. Slight jaun-| weakness| cdema at CATIONS | junctive,yel-| Conjunctive, ciated dice, oedema of legs| & wasting.) the end. low yellow (terminal) Dysentery,, Comatose,
| | last 7 days| last 2 days TREATMENT | —_ — — 'Temporary improvement Quinine, no | Quinine, no
| under quinine, but; effect | effect
| steady emaciation |
Case VII | Case VIII | Case IX Case X | Case XI Case XII | Case XIII AGE AND SEX) $ 25 Shy SS BS 3 ‘aeons ae aie g, é 99 Nationatity; Egyptian Arab | Arab | Arab | Arab | Abyssinian VILLAGES | Umbrega Gallabat | Mafaza Gallabat | Gallabat Mafaza Kassala anD Towns | (Abyssinian — | WHERE ILL | frontier) | | DuRaTION OF Several months | Several mos. | Several mos. Several mos. | Several mos.,4 months.) 24 years. InnunEss | (?) living Died 21st} Died 8th, Died 16th; Died 19th, Stillliving| Died 10th
| May, 1908 | Oct., 1907 | Dec.,1907 | Dec., 1907 | April, 1908 TYPE OF Periodic waves | Continuous Continuous | Continuous | Continuous | Continuous, | Periodic at- FEVER fever, 100° | fever, 100° : fever, 99° fever,100° 99°-normal| tacks, con- | to 102° to 103° to 101° to 103°, orsubnormal) tinuous 104° last 2weeks Broop Ex- |Spleen punc- | Spleen punc- _ | — | —_ ‘Spleen punc- | Spleen punc- AMINATION tures, no ma-| tures, no; ture, no; ture, no laria, no kala-| malaria, no | | | malaria,no| malaria,no azar | kala-azar | | kala-azar kala-azar HovusE = — — — | — — No definite INFECTION | abode History | | | |
LIVER sts { Enlarged Not enlarged) Not enlarged! Enlarged § Enlarged ee an Not enlarged
| { { | f Much Much -Greatl | Much — SPLEEN ae enlarged Enlarged enlarged saliewed Halarged enlarged Conpition Progressive Extreme,Continuous Emaciation Pigmented | Very emaci-| Very wasted AND CoMPLI-| wasting and| emaciation| hemorrhage| and weak-| patches in| ated and weak. CATIONS | weakness,con-| and weak-| from gums; nessmarked) many places, Pain in | junctive, yel-| ness, con-}| and nose | last 2 days bonesofleg.
| low junctive, diarrhea (Edema of markedly | and vomit- legs last 7 yellow | ing days TREATMENT | Fever lessened} Quinine, no} Quinine, no| Quinine, no) Quinine, no} Quinine, no | Quinine, grs.
| by heavy doses| effect effect | effect effect effect 40-60, no
| of quinine—|. effeet but progres- Spleen and/|Spleen and|) | sive emaciation liver en-| liver en-| | POST MORTEM| — _ _ larged, no, larged, no|}- — = EXAMINA- other con-; other con- 2 TIONS ditionfound; ditionnoted