TRYPANOSOMIASIS IN THE ANGLO-EGYPTIAN SUDAN 



I have continued his work, and extended the observations to monkeys, 

 was so encouraging tliat it seemed justifiable to go on with the treatment. 



161 

 Dr. Neave's report 



Case of Human Trypanosomiasis 



April 29th. Dr. Neave performed gland puncture on the boy who, owing to the 

 exigencies of travel, had not had a dose for ten days. On examining the gland juice I found 

 two somewhat altered trypanosoines answering in morphological detail to f. (jamliiense. The 

 superficial cervical glands along the anterior margin of the sterno-mastoid were enlarged, 

 though not markedly so, and were somewhat shotty to the touch. The boy was fairly well 

 nourished, but had rather a sleepy and stupid aspect. An arrangement was made with Case of human 

 Captain, now JIajor, Dansey Browning, whereby the boy was to be kept at the Military j'^^^^^j'^j 

 Hospital, and to receive \ grain chrysoidine every second day by intramuscular injection. 



On May 5tli. Captain Browning reported that the boy's speech seemed affected. He 

 was seen on May 6th and examined. He certainly seemed to have some difficulty in 

 enunciation, his speech being almost of a " staccato " nature, Init we found afterwards that 

 this was merely a natural defect and due in some measure to his not understanding any 

 Arabic, in which language he has since made considerable progress. He seemed dull and 

 heavy, but no tremors were noticed. Neither peripheral blood nor gland juice showed any 

 trypanosomes. His case was carefully gone into, but it was difficult to take as he was 

 ignorant of any language with which we were acquainted, and we were ignorant of his 

 tongue. We were unable to detect any abnormality in the nervous system. Indeed, the 

 only sign of disease about him was the cervical glandular enlargement. 



He was well clothed and well fed, and his dose was increased to ^ grain daily. It 

 produced no local ill-effects. 



Mai/ 25t/i. Gland puncture performed. No trypanosomes found. Boy fat and well. 

 Has been making himself useful about the hospital. Glandular enlargement as before. 



Jii))i> 9t/i. Very well. Blood and gland juice negative. An attempt to make a full 

 lilood count failed, owing to the atmospheric conditions prevailing. 



A differential leucocyte count was conducted with the following result : — 



Counted 500 



The high percentage of eosinophiles is notcwui-tliy. It was probably due to intestinal 

 parasites.* On this day about 1 c.c. of venous blood was taken, eitrated, and inoculated 

 subcutaneously into Monkey 9 [cidi- in/ru). 



Jinii' lStl(. Blood count made. 



K.B.C. 3,900,000. 



Leucocytes 6,000. 



Hb. 70 per cent. 



A photograph of the patient taken on this date is shown (Fig. 7r)). Gland juice 



• This proved to be the case, as later on the patient was found to harbour a tape-worm. 



