1910.] " Muhinyo," a Disease of Natives in Uganda. 487 



examination of the splenic pulp, obtained by puncture of the spleen, failed to 

 reveal the presence of the parasites of kala-azar. It was therefore evident 

 that " Muhinyo " was neither kala-azar nor beri-beri, but the long duration 

 of the fever, the joint pains, and the extreme weakness and emaciation 

 suggested a continued fever, such as typhoid or Malta fever. 





Au<ju 



St 



































Septembei 



-* 







// 



It 





/4 







17 





19 









23 





2S 





27 



2B 



2S 





3/ 



/ 







5 



6 





'F 



























































/O? 



























































106 

















































































































••o 





104 























































103 





i 



















































lOZ 







/ 









































i 





/ 







101 











\A 



























\ 







t 













m 





















i 



f 



A/ 



i 



t 



i 



/w 























99 

















7 





























/ 







































































Examination of the Blood for Agglutinative Phenomena. 



The blood of several of these cases was therefore tested with Bacillus 

 typhosus and Micrococeus melitcnsis by Widal's method, with the result that 

 no reaction was obtained with the former, but positive results, in fairly high 

 dilutions, were got with the latter. 



The following table represents the result of the examination of the blood 

 of " Muhinyo " with a strain of Micrococcus melitcnsis from Malta, from which 

 it will be seen that five out of the seven cases examined gave a positive 

 reaction : — 



Table I. 



No. of 

 experiment. 



Dilution of serum. 



Control. 



1 in 50. 



1 



1 in 100. 



1 in 200. 



927 



+ 



+ 







928 



+ 



+ 







929 











930 











931 



+ 





+ 





932 



+ 



+ 



+ 





933 



+ 









