ROUTINE WOBK 



177 



Khartoum less complete, the danger of an increase in enteric fever as well as of un invasion 

 by cholera and plague, must be seriously considered. Happily this has been recognized 

 and funds are forthcoming for carrying out an iniprovement in the existing conservancy 

 system. 



Dysentery of a bacillary type is not uncommon amongst the Egyptian soldiery, though Dysentery 

 bilharzia of the rectum is apt to be mistaken for it. In a specimen of the large intestine 

 from a rapidly fatal case of dysentery sent by Major Rivers, an acute congestion of the 

 mucosa closely resembling a measles rash vi^as very evident. 



The malaria cases have already been discussed. I have found the accompanying table 

 compiled from various sources, so useful in distinguishing between the various young forms of 

 parasite, that I introduce it here : 



DiFFEBENCES BETWEEN EaRLY PORMS OP MALARIAL PARASITE 



In one instance, a ease apparently of malaria epileptica under the care of Captain P. Evans, 

 R.A.M.C, we found a condition recalling the conjugating forms wliieh liave been described by 

 Ewing.* The parasite in question was benign tertian. Another interesting case, from the point .-\ question of 

 of view of diiferential diagnosis, was also in the charge of Captain Evans, and I have to thank ,' '""'^""^ 



^ ' or' diagnosis 



him for pei'mission to make mention of it. A sputum was sent for examination, as its peculiar 



Clinical Pathology of the Blood, 1903. 



M 



