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VALUE IN TROPICAL DISEASE
23

Admitted, 17th May 1899. On 2nd May, after visiting the refrigerating-room on board, was taken ill with slight shivering fits, pain in the back and severe cramps in the legs, so severe that he was unable to stay in bed. This more or less continued until admission. On day of admission he vomited three times. Spleen not enlarged. Temperature for 8 days in hospital, quotidian intermittent, between 103° and 98°. Blood then examined and crescents found. Quinine at once given and uninterrupted recovery.


Case 11. G. R., 30. Admitted, 5th October 1899, with the diagnosis of pneumonia and possibly typhoid. Spleen enlarged. In due course rash developed, and a Widal proved positive on 29th October. Blood showed no parasites, and leucocytes numbered 4800 per c. mm. During the course of the disease a sudden rise of temperature suggested a complication of the typhoid. Blood examined and malaria parasites were found.


Case 12. C. L., 60, from Dalsar. Arrived in Hull on 8th November, and joined his wife in London on 9th November, in a drowsy condition, and soon became unconscious, and