208 



A CASK OK I'AUASITIC (iltANl'LOMA 



Microscopical exaininatioii of tliu stained specimens showed the presence of nil M 1 



corpusclt's, granular delnis, and a hirge ninnber of eosinophils leiicocytes. No Li'ishiiian 

 bodies were in cvidt'iicc. hut. insti^ad, there were present ])eeuliar oval pale blue staininj; 



t-"!^. &t. — Papultj. wu ^i,U'^u^'- 



i-i£. 61, — bkin lexiou ou Foivajin (Ibiuliiat bachilj 



bodies about 3 /x in length; a few of these bodies contained a small amount of chromatin, 

 but the majority were simply blue homogeneous looking cells. Similar " blue bodies" had 

 previously been found in the peripheral blood and spleen smears of cases of kala-azar, 

 and their presence in the contents of the papules aroused the suspicion that the case 

 was one of Leishmaniosis, although no parasites were found in smears taken from them. 

 The pustules were also punctured, but apart from the presence of diplococci nothing of 

 additional interest was present. Attention was then directed to the ulcer on the flexor 

 aspect of the forearm. The margins of this ulcer were punctured and smears made and 

 stained. While examining these smears Captain Harvey, R. A.M. CI., found Leishman bodies 

 present. These bodies were oval in shape, and varied in size from 3 ^i i-ti/i in their 

 longest diameter. Their average size was 34/1. Stained by l,eishman's modification of 

 Romanowsky they were of a pale blue colour and showed a trophonucleus, a ehromatin- 

 staining kinetonucleus, and, in addition, a circular or oval body of a delicate pink colour, 

 situated as a rule adjacent to and between the tropho- and kinetonucleus (Plate XIII., 

 fig. 1). The nature of this delicate pink body it was difficult to determine, but it seemed 

 to correspond to the discription of the " eosin body" given by Rogers' in developmental 



' Rogers, L. (1908), Fevers in the Tropica. 



