IDO-i ] L. Rogors — Special Repoit on Fever in Dinnjpiir Dcst. 



4:^ 



or Kala-dukli wlieu they were considered individually. Others of the 

 cases only presented comparatively slight enlargement of the spleen such 

 as invariably results from repeated attacks of malarial fever. Including 

 one case examined later in the Dinajpur hospital, 30 in all were submitted 

 to spleen puncture, and in most of them a slide was also made from the 

 peripheral blood, and examined for malarial parasites, and a differential 

 leucocyte^ count made. In this way it was expected that it would be 

 possible to get some clear ideas as to the differentiation of the class of 

 cases in which the new parasites were found from the malarial cases. 

 The results obtained can best be shown by tabulating them in groups. 



Table VII. — Chronic Malarial Fevers. 



No. 



Sex. 



< 



Duration 

 of fever. 



1 



M. 



7 



3 years... 



2 



,, 



7 



2 



3 

 4 



»> 



12 

 14 



21 „ ... 

 2 



5 



" 



8 



3^ „ ... 



Recent 

 fever. 



Slight ... 



Frequently 



Every day 

 Ditto ... 



Frequently 



Anaemia. 



Slight 



Do. 



Marked 

 Do. 



Very marked 



Darkening 

 of the skin. 



Very dark 



Extremely 



dark 

 Dark 

 Nil 



Dark 



Enlarge- 

 ment 

 of the 



spleen. 



Beyond 

 navel. 

 A. 6. S. 



To navel 

 Beyond 

 navel. 



A. 6. S. 



Thin 

 Do. 



Thin 



Malarial 

 parasite. 



Mai terl 

 Ditto. 



Ditto. 

 Ditto. 



Cresents. 



A. S. S. equals down to the anterior superior spine of the ilium. 



It will be seen that these cases were of a very chronic type of 

 fever, and all showed the malignant tertian variety of malarial parasite 

 and marked splenic enlargement. Nos. 2 and 4 also showed marked in- 

 crease of the large mononeuclear white corpuscles, namely 14 and 17 per 

 cent., respectively. No. 3 showed 9 per cent, and No. 5 only 6 per cent. 



Table VIII. — Chronic Fevers showing Loshman-Donovan Bodies. 



No. 



Sex. 



< 



Duration 

 of fever. 



Present 

 fever. 



Anaemia. 



Darkening 

 of the skin. 



Enlarge- 

 ment 

 of the 

 spleen. 







I . 

 II 



6c 



.s 

 1 



Leishmau- 



Donovan 



bodies. 





F. 



4 













J 



Extreme 





1 



15 months 



Daily ... 



Very marked 



Dark 



A.S. S. 



1" ... 



Numerous, 



2 



M. 



15 



1 year 



Do. ... 



Marked ... 



Very dark 



Heyoiid 

 navel. 



1" ... 



Ditto.. 



Scanty. 



3 



,, 



25 



2 years 



Sliffht ... 



Sliijht 



Dark 



4" 



Nil... 



Slight... 



Numerous 



4 



» 



15 



7 months 



Daily ... 



Do. 



Do. 



Beyond 

 navel. 



Do. 



Extreme 



Scanty. 



5 



„ 



40 



2 years 



Do. .... 



Do. 



Mil 



4" 



Do. 



Thm ... 



Numerous. 



fi 



^ 



14 



1 month 



Do. ... 



Do. 



Do. 



To navel 



1" ... 



Nil ... 



Scanty. 



7 



„ 



8 



1 year 



Do. ... 



Very marked 



Do 



Ditto ... 



Nil 



Extreme 



Do.' 



8 



F. 



7 



1 month 



Do. ... 



Marked ... 



Dark ... 



Beyond 

 navel 



i" ... 



Thin ... 



Numerous. 



9 



jj 



fi 



1 year 



Do. ... 



Slis-ht 



Nil 



A. S. 6. 



4" ... 



Extreme 



Scanty. 



10 



M. 



8 



1 „ 



Nil ... 



Marked ... 



Dark 



Ditto ... 



1" ... 



Ditto .. 



Do. 



• Died of pneumonia. Bodies found in spleen, liver and bone marrow post' mo item. 

 i Siuce my returu to Calcutta I have been able to fiud these parasites iu still 



