108 
OBSKIIVATIONS UN KALA-AZAK IN KASSALA PllOVlNCJC 
Age and Sex 
Nationality. 
Duration op Illness 
Villages and Towns 
WHERE III 
(Name luiderliuod 
where first ill) 
Type of Fever 
Type op Parasites 
(Splenic Puncture) 
Peripheral Plood... 
Liver.. . 
Spleen 
Urine. 
COMPLIOATIONS 
Jaundice . 
IEdema 
Treatment . 
Periods op 
Improvement 
Pigmentation 
House Infection 
History- 
table A. KAL.\-AEAR. (Parasite Found) 
Case I 
Case II 
Case III 
Case IV 
J -23 
s 25 
c? 25 
J •ill 
Abysbiuiau 
Egyptian 
Abyssinian 
Arab, Maria Trilju 
2 years. Autunm,‘Uo. 
3i months. Oct.. '07. 
24: years, Autumn. *U5 
8 months, Aug., '07. 
Died Nov. (itli, ’07 
Died Feb. 4th, ’08 
Died Dec. 22ud, '07 
Died Mar. 24th, ’08 
Addayai^'-i (Erithrea), 
Kassala 
Azzeiu (Erithrea), 
Mafaza 
Kas'sala. Gulsa, 
Kassala, Debehveit, 
Karkabel, Glodet, 
Kassala 
Kassala 
Temperature usually 
High fever 4 weeks, 
Intermittent fever. 
High intermittent 
sub-normal. Occa¬ 
sional rises to 101° 
to lOo for 1 to 2 
days 
then 98^ to 99" ft>r 
5 weeks — then 
higher fever, seldom 
coming to normal 
followed by normal 
fever 
C()iisi{leral)lc iiuin- 
Few well-develoi)cd 
Well devel(*]Kid. none 
Ext reiiicl view foil ml. 
bers, mainly free. 
parasites 
found in cells 
Pigment collection 
Loii^ oval forms 
mainly 
No malaria. No 
No malaria. Lem-o* 
No malaria, Leiuu)- 
No malaria. 
LemxHtytosis. No 
ptcnia. No para- 
pa'iiia,, almost all 
Leucopiunia 
parasitcf^ in white 
sites in white cells 
mononuclears 
cells 
Not enlarged, ap- 
Enlarged. Two 
Not enlarged 
Enlarged 1] incli 
pareiitly reduced in 
size 
lingers' breadth be¬ 
low costal margin 
below costal mai’gin 
1 inch below um- 
1 iiH^h below costal 
1 im4i below um- 
2 iiK^ies l;elow costal 
bilious 
margin 
bilicus. Tender 
margin 
Albumen 
Albumen absent 
Albumen ti’aee 
Albumen 
Bile absent 
Bile absent 
Bile 
Bile 
Diarrlicea. Nt) pain 
Pseudo - dij)litheritic 
Very (•ollaj)j'(.?d. Died 
Pains in shin Ixmes. 
tonsillitis. 1 iiiodeiial 
ulcers, with epi¬ 
gastric pain 
5 days after ad¬ 
mission. No pain 
Ejiistaxis 
Absent. Conjunctivie. 
yellow 
Absent. Ccjiijunctivm, 
yellow 
— 
— 
Feet (terminal) 
Absent 
Feet (terminal) 
Legs ((eriniiiiil) 
Quinine uo effect. 
Quinine apparently 
Admitted Aug. 14tl], 
Dniuine had no effect. 
Heavy and in- 
beiietieial at first. 
19(t7. witli fever. 
Atoxvl and snl)- 
creasing doses of 
Later Atoxvl and 
30 grs. and iujec- 
limate injeetums t^)- 
HgOl., useless 
HgC’L injections to- 
tions of (luiuinc 
gether with Fiu-h- 
gether with Fnch- 
sinc pills 
given. Temperature 
normal after 8 days 
and patient dis¬ 
charged well. Re¬ 
admitted Dee. 18tli. 
1907 
sine ])ills 
Yes 
Yes 
Yes, very marked 
Yes 
None 
None 
None 
None 
Single. All living in 
Single. O t h e r 
Single. No definite 
Single. Case V. lived 
hosh well. No bugs 
soldiers healthy. 
ab( )dc 
in police lines. Bugs 
found 
but much malaria. 
No bugs 
denied 
