BODY SYSTEMS 



1523 



2. Most marked in the posterior triangles of both 



sides of the neck. History of residence in sleep- 

 ing sickness areas. Glandular fluid obtained by 

 puncture shows trypanosomes — Trypanosomi- 

 asis. 



3. Enlarged glands in neck and other parts. (Edema 



of face with characteristic crepitation. Fugitive 

 oedemas in various parts. Enlarged and tender 

 spleen. Enlarged liver. Increase in size of the 

 thyroid gland. Residence in Tropical South 

 America — Chagas' disease. 



{h) Lymph glands anywhere enlarged : — 



4. Pain in some lymph glands ; tender, enlarged, 



freely movable under skin. Search area drained 

 by lymphatics going to gland for circular vesicle 

 or small black or brownish necrotic area indica- 

 tive of a bite. Puncture of glands shows no 

 bipolar plague bacilli. History of residence in 

 the Akitaken and Nugataken of the Island of 

 Nippon, Japan — Tsufsugamushi disease, 

 (c) Inguinal or axillary glands enlarged: — ■ 



5. Acute onset, high fever, great prostration. Punc- 



ture of glands reveals plague bacilli — Plague. 



6. Gradual onset, slight fever. Very mild symptoms, 



malaise, pain on walking. Inguinal or crural 

 glands enlarged, hard, very painful on pressure. 

 Puncture shows sterile fluid — Climatic bubo. 



7. Glands enlarged, inflamed, or suppurating, with 



chancre on penis, septic wound, or ulcer or 

 gonorrhceal infection — Septic infections. 



8. Occurring in the course of one of the enteroidea 



fevers — Intestinal infections. 



9. High fever, lymphangitis, associated with an 



erysipelatous condition of the skin. Blood 

 examination during night (or during the day in 

 certain cases) reveals microfilaria — Filarial 

 lymphadenitis. 



G. Symptoms pointing to the muscular system : — 



{a) Remittent or intermittent fever, with rheumatoid 

 pains and abscesses in various parts of the body — 

 Myositis purulenta tropica. 



(b) Remittent fever, with rheumatoid pains, but no 

 abscess formation. (Edematous patches often 

 present, marked eosinophilia — Trichinosis. 



H. Symptoms pointing to the osseous system : — 



(a) Pain and tenderness, especially near a joint — Osteo- 

 myelitis. 



