OBSERVATIONS ON KALA-AZAR IN KASSALA PROVINCE 
100 
TABLE A. KALA-AZAR (Parasite Pound ) —continued 
Case V 
Case VI 
Case VII 
Case VIII 
Age and Sex 
^ 22 
1 S 9 
<? .80 
i 28 
Nationaditv ... 
Abyssinian 
Arab 
Sudanese 
Sudanese 
Duhation op Illnp.ss 
Ti montlis, Oct., ’07. 
Died April 8th, '08 
' 4^ months, Dec., ’07. 
Died April 29tli,’(t8 
1 4 months (?) 
, Autumn, '07. 
Died Jan. 25th, ’08 
74 months, Oct., '07. 
Died May 14tli, ’08 
VlDDAOES AND TOWNS 
Mafaza 
Kassala 
Qharb el Gash (a 
Khatmia (a Kassala 
WHERE III 
(Name underlined 
wlierc fii-st ill) 
sulrnrh- 
suburb), Debeleweit 
Type, op Fever 
Seen luit once. 
History of con- 
tiiiiunis fever 
Perpetual high re¬ 
mittent, 164 ° to 
101° 
lutermittent, sub¬ 
normal, last 2 weeks 
Intermittent, fre¬ 
quent intervals of 
2 to 3 days. Normal 
temperature 
Type op Parasites 
(Splenic Puncture) 
Large niiinbcr of big 
parasites 
Manysmnll parasites; 
very many blood 
platelets 
Only one typieal 
parasite found 
Consideralde num¬ 
bers of round and 
oval forms. Pig¬ 
ment collections 
Peripheral Blood... 
No examination 
No malaria. Lenco- 
pffinia 
No malaria 
No malaria 
Liver. 
Slightly enlarged 
Enlarged 3 inches 
below costal margin 
Slightly enlarged 
Enlarged. Hand’s 
breadth below 
costal margin 
Spleen . 
'2 inches below um¬ 
bilicus 
1 inch below costal 
margin 
Considerably 
enlarged 
1 inch below um¬ 
bilicus 
Urine. 
_ 
Albumen absent 
Bile absent at first, 
later present 
No albumen 
No bile 
Albumen 
Bile 
Complications 
No pain. No eoin- 
])licatiotis wlieii 
seen. Constipation 
No pain 
No pain 
No pain. Persistent 
terminal epistaxis 
.Jaundice . 
1 
Absent. Conjunctivie. 
yellow 
Absent 
Absent 
Conjunctiv.'c, yellow 
CEdema . 
Absent when seen 
General cedemn 
marked 
Not noted 
Legs (terminal) 
Treatment ... 
No iniiirovenient on 
quinine, lo grs. 
daily 
Quinine, 40 grs. daily, ' 
no efFe(‘t 
Quinine, no effect 
Quinine 40 to 00 grs. 
daily, slight im¬ 
provement. Thymol 
(> grs. daily, no 
effect 
Periods op 
Improvement 
Unknown 
No 
Unknown 
Yes 
Pigmentation 
None 
None 
None 
None 
House Infection 
History 
Single. Brother and 
brother's wife with 
whom living, well 
Mother and two 
young sisters 
healthy. No bugs 
found 
No definite abode 
i 
No definite abode 
