26 THOMPSON YATES AND JOHNSTON LABORATORIES REPORT 
Pancreas and suprarenals normal. 
Intestines contained very many ascaris, anchylostomes, and a few Trichocephalus dispar. 
Bladder showed two submucous haemoirhagic areas near meatus. 
Genitals normal. 
Lymphatic glands : Generally enlarged and watery, especially the abdominal groups, some of the latter 
were deeply congested ; one gland lying on the anterior surface of the pericardium had a distinctly 
haemorrhagic centre. 
Brain : Slight congestion of superficial vessels and flattening of convolutions ; sub-arachnoid fluid 
in excess, ' ground-glass appearance ' of arachnoid. Cord : vessels congested, great increase in cerebro- 
spinal fluid. 
None of cranial bone cells were abnormal. 
Living trypanosomes were seen in preparations made post-mortem from finger blood and pericardial 
fluid, but not in heart blood. 
Case 84. Moidi. Female. Age twenty-four. 
History. — Is a Kasai woman. Has been living for past two months near Leo- 
poldville. Was sent to hospital, January 12, as a case of sleeping sickness. 
January 21. Patient is a big well-made woman, no emaciation, her expression 
is dull, pained, and stupid, almost vacant. She is continually making grimaces. 
She cannot walk and lurches forward in a halt drowsy condition during examination. 
Speech is thick and slow. Oedema of shins and feet, face and lips puffy. Indeed, 
the whole body is more or less puffy and presents an appearance of plumpness. Skin 
dry and dirty. There is a very extensive cicatrix, from a burn, implicating the right 
arm, side, and thigh. Lymphatic glands not enlarged. Circulatory and respiratory 
systems normal. Alimentary system, tongue coated and moist ; teeth and gums 
foul. Tip of tongue only, after much persuasion, protruded. Liver normal. 
Spleen slightly enlarged. 
January 25. Patient usually sits dozing over a small fire. She is occasionally 
found lying at full length, naked, on the floor, or asleep in an uncomfortable attitude 
on the board bed. She can be easily aroused by a touch, and can, by shouting, be 
persuaded to speak. 
February 5. Patient is almost lethargic, and is aroused only with some 
difficulty. She now eats nothing and is becoming emaciated. Sensation is dulled ; 
hardly flinched during lumbar puncture. 
February 6. Died early this morning. 
Necropsy six hours after death. The body of a massive but wasted woman. Rigor mortis present in 
masseters and extremities. Panniculus in fur amount. 
Abdomen normal. Diaphragm : Right side, upper border fourth rib ; left side, fifth rib. 
Thorax : Pleurae normal. 
Pericardium contained a small amount of yellowish fluid. 
Heart : Weight, 342 grammes ; contained firm white agonal clots. 
Lungs : Weight, right, 454 grammes ; left, 335 grammes ; slight bronchitis and hypostatic congestion- 
Liver: Weight, 1,591 grammes; light in colour, central lobular congestion, soft and friable. Gall 
bladder lull of dark, thick bile. Ducts patent. 
