MISCELLANEOUS NOTES 



367 



an appearance suggestive of Aspergillus infection, while on section, as will be seen (Plate 

 XXIII., fig. 2) the grain does not answer very well to any of Brumpt's types. There has 

 not been time for any detailed study of the specimen but it is worth recording as being 

 possibly a species as yet unknown to Science. 



Lepkosy 



Figs. 112 and 113 show a marked case of typical tuberculous leprosy in a young 

 native woman. I took the photographs at Wau. The patient was under the care of 

 Major Howard Bnsor, D.S.O., R.-^.^I.C, and at a later period he found lepra bacilli in 

 the nasal discharge and in scrapings from the lesions. The leonine appearance of the face, 

 giving the impression of considerable age, is well marked. 



A. Balfocr 



Figs. 1 1 2- 1 1 3.— Typical tuberculous leprosy in young native woman 



Dysentery 



The only point to be noted under this heading is that it has been definitely proved 

 that both amoebic and bacillary dysentery occur in the Sudan. The former is due to 

 Enta)nveba histolytica (Schaudinn) ; the latter, in an interesting case occurring at Atbara, 

 was proved by a marked agglutination reaction to be due to B. shiga. It is probable, 

 therefore, that this bacillus is the most frequent cause of dysentery of this type in 

 the Sudan which, however, requires further investigation. 



