CONTENTS 



PAUE 



NoTK IIX A MCTIIiiII ok OllTMMNi. Ill.iMll) AsKI'TIi \|,|.^ Kcil: IIIK Crl-TIKK ul- H .KM \|l>/i ' V 



IN TIIK TkhI'ICS. I>V TlIK |)ll;K<Tl>l: 107 



Fallacies and 1'uzzlks in HlimU) Examination, liv tiik iJiUKcToit 109 



"Adventitious" Fiilliicios— Ywust (.Vlls, I'oilfii (iriiinx, i-tc. -Spiroclia'to r'oniis— I'arasit*;- 

 like litxlios Ditforoncos Ix-twcuii Yt-iist Cells ami ramsites— Hlottiii)j;-|>a|H!r Fallacy — 

 AutdjieiU'tic Fiillacies Viicuoles " .Marii;rlianos"' — Granules — "(.'liaiii, tluinl)-l>ell, tilanieiit 

 and droplet" I'honomuna I'latelets Ha-mooonia — Free Flagella -Fallacies in .Staine<l 

 Hlooil—^//i'»K/«-/:f//eH— Alterations in Ued Cells— Curious Ai)ix!anince in Gcrbil's B1<kj<1 

 ■■ liowell-Jolly " Bodies— Ccntrosoines in Bird's Erytlir<K-ytes— Unrecognised B<Mlies 

 I'eatli and Degenenition of Leucocytes -Bo<lies in tlie Extra-nuclear l'r<>lo|>la.sni 

 of Certain Mononuclears — Serijentfllit hominis — " lloweil and llorrocks " Bodies 

 I'nidentitied Parasites in Frog's Blwxl. 



IJkmakks on Kai.a-azai: ix tiik Kassala anii Blue Nii.k l)isTiUfTs of the Sudan. 



By Cattain L. Bouskield 127 



Suiuiuary of Tour — Talile of Patients Treated -Prevalence of Bed-bugs — Duration of Di.sejuse — 

 Incidence of the Di.iease Xationality of Cases — Death-rates of Tr)\vns Att'ected On.set of 

 Di.sea.se — Physical Condition of Patients — Liver and Spleen Puncture Atypical Brxlies — 

 Diagnosis — Ty|)es of Parasites — Blood Films fmni .\innials— Recommendations — Ai))iendix. 



/' Kala-.vzak L'ommission To IN vk.stii;atk the I'i;k\ ai.k.me and Caisk ok the Disease 

 IN THE Eastern Sudan. 



/ (1) General Heport. By Captain D. S. B. Thomson 143 



Tours of Inspection — Procedure in Villages — Native Information on Kala-azar — Native 

 Treatment— Infection of Riverain and Inland Villages — Comparison of Number of 

 Ciuses in Provinces— Method of Transmission— Sitleeii Puncture — Age, Sex, Race and 

 Seasonal Incidence— Is the Discii.se Curable ?— Billiarziosis — Recommendations - 

 Conclusion — Tables of Observations. 



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/ 



(2) Patholocical Report. By Lieutenant W. E. Mau-shall 157 



Clinical Notes — Treatment — Peripheral Blood — Presence of Lei.shman-Donovan Bodies — 

 Relative Increase in Large Mononuclciir Leucocytes — Other Blood Changes — Relation 

 of Eosinoi)hilia to Kala-az;»r— Urine and Fteces in Kala-azar— Search for Lei.shman- 

 Donovan Bodies in Dogs and other Animals — Tables of Ob.servations — Exi)erimeiital 

 Kala-aziir in the Grey Monkey — Infected Cases — Non-infected Cases — Presence of 

 Parasites in Blood of Infected Monkeys — Tables of Oliservations — Morphology and 

 Culture of the Para.site- Possibility of Infection by the IVd-bug, Cimtr lictiilnriiia 

 — Other Protozoa met wiili (hiring the Investigation — Protozoon from jiost mortem 

 Splenic Puncture— Flagellated Bodies in Standing Water — Flagellated Bodies in F;ece.s 

 of Infected Monkey — Flagellated Bodies in Soil — Conclusions — Possible Methmls of 

 Infection. 



Thk .\lkai,isitv ok iiiK I'.i.ooi) Seki M IS K Ai.A AZAK. Bv Cai'Iain K. (!. .\i:riiiitAi.ii I7;i 

 Techni(|ue — Titration of Seium against Standard .\cid Solution— Ca.se 1— Case 2— Ca.se S — 

 Case 4 — Conclusions. 



Herpetomonas lyi:.ei. Bv Captain R. G. Arihibalu 170 



.Material and Methrals Employed - Pretlagellate Stage — Post-tlagellate Stage — MetlnMJ of 

 Infection — Culture an<l .\ninial Experiments. 



/Case ok Kala-azar tkeatek hv "C06." l!v tiik Director axi> Captain .Vrciiibali)... 185 

 Summary of the Case Diagnosis Continued by Spleen Puncture Injections Commenced— 

 Second Injection — lmi»roveinent — Effect on Parasites — Remarks. 



