﻿GANGOSA IN THE PHILIPPINE ISLANDS. 



By W. E. Musgrave and Harey T. Marshall. 



OUTLINE. 



I. Clinical report. 

 II. Autopsy report. 

 III. Kesume of literature. 



Gangosa has not previously been reported for the Philippine Islands. 

 Because of the comparative rarity of the disease, its limited geographical 

 distribution and probably infectious nature, the following case is of suf- 

 ficient importance to warrant discussion. The patient was seen several 

 times by Dr. 1ST. T. McLean, United States Navy, who has had a large 

 experience with the disease in Guam, and the diagnosis was confirmed 

 by him. 



I. CLINICAL REPORT. 



Case record. — Gangosa; death; autopsy. — The patient, C. F. (2179) 

 was admitted October 31, 1906, to Dr. McDill's service in St. Paul's 

 Hospital. He was transferred to Dr. Musgrave's service on December 

 15, 1906, and died January 23, 1907. He was a Filipino, male, 29 years 

 old, single and a native of Santo Domingo de Basco, Batan Islands. 1 

 The patient was an unusually ignorant native of the lower classes and the 

 value of his statements was not very great. However, the following 

 facts obtained at different times and repeated to different interpreters 

 are probably true. Father, mother, and two brothers are living and in 

 good health. The patient stated that none of his relatives has a disease 

 like his but he was equally positive that several other people in the same 

 town are suffering from a similar condition. Previous diseases were 

 denied. The patient stated that he was never far from his native town 

 until he came to Manila two years ago and that he had never been ill 

 except once with calentura (fever). The last two years before entering 

 the hospital he resided in one of the barrios of Manila and worked as a 

 stable boy most of the time. 



1 The Batanes constitute the most northern group of the Philippine Islands. 

 They lie about 120 miles due north of Luzon. 



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