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CONTENTS 9 



PAQK 



Two Cases of Non-Ulceeating " Oriental Sore," better termed Leishman Nodules. 



By the Director, with Clinical Notes by Captain I). S. B. Thomson ... 191 



Introduction — Case I — History — Clinical Examination — Blood Examination — Growths — 

 j^Iorphology of Parasites — Histo-pathologj' of Growths — Recent Literature — Case II. is 

 found to be a Comrade of Case I. — History — Clinical Examination— Blood Examination — 

 Additional Notes — Treatment — Ex]K'rimental Work. 



A Case of Parasitic Granuloma in which Developmental Forms of Leishmania 



tropica were Present. By Captain R. G. Archibald 207 



History of Case — Study of Skin Lesions — Examination of Papules — Microscopical Examina- 

 tion of Stained Specimens — Differential Blood Count — Histo-patliolog>' — Summary. 



Two C.\sEs OF Veldt Sore Treated by Autogenous Vaccines. By the Director ... 213 



Vaccine-therapy — Case I. — Case II. — Succes.sful Treatment by Autogenous Vaccines — Use of 

 a Mixed Vaccine. 



Ulcus Tropicum. By the Director 217 



Leucoderma. By the Director 217 



Fevers in the Sudan, Preliminary Note. By the Director 219 iV-' 



Clas.ses of Fevers — Case of Hepatitis — Case of Malta Fever — Phlebotomus Fever or "Sand-tiy ' 

 Fever — Dengue Fever — "Toxic Enteritis" — Miliary Tuberculosis — Prolonged Fever of 

 Syjihilitic Origin — Helminths as a Cause of Fever — Fever due to Old Malarial Infection — 

 Idiopathic Tropical Splenomegaly — Septicasmic Fever — History of Cases — Three Cases of 

 Pyrexia of Unknown Origin — History and Symptoms — Classificatinn of Fevers — 

 Temperature Charts of Cases. 



Four Cases of Pyrexia due to Infection with a Bacillus of the B. Cloac.e Type, 

 with Notes on the Vaccine Treatment of Two of these Cases. By 

 Captain R. G. Archibald 231 



Blood Culture for Early Diagnosis — Clinical Signs — Isolation of the Organism — Morpholog>' — 

 Cultural Characters — Agglutination Tests — Cultural Reactions — Presence of Organism in 

 Excreta — Outcrop of Boils — Success of Vaccine Treatment — Conclusions — Temperature 

 Charts. 



Diphtheria in the Tropics. By' the Dieectoe 239 



Diphtheria in the Sudan — A Coccal Form of the Diphtheria Bacillus — Seasonal Incidence — 

 Case in Khartoum — Bacillary Form — Involution Forms — Variation in Bacilli — Additional 

 Note — Associated Organism — Characters of the Organism — ilorphology — Pathogenicity. 



Some Aspects of Tropical Sanitation. By the Director 240 



The Sanitary Inspector in the Tropics — Effects of Sun and Humidity on Health — Native 

 Populations — Malaria and Mo.squitoes — Unexpected Breeding-places — Other Communicable 

 Diseases — Conservancy ilethods — Bacterial Treatment of Sewage — Proposed Sewage Farm 

 — Incinerators — Birth-rate — Milk Supply — Miscellaneous Duties — New Khartoum. 



Sanitary Notes. By the Director 263 



Meteorological Conditions — Mosquito Work — Statistics — ilalarial Outbreak — Irrigation Rules 

 — Influence of Cultivation on Diseases — The Covering of Water Utensils — Rats in 

 Khartoum — Infectious Diseases — Tables of Statistics — Vital Statistics — Death-rate — 

 Birth-rate — LiabUitv of Sudanese to Tuberculosis, 



