2 
THOMPSON YATES AND JOHNSTON LABORATORIES REPORT 
Kitambo. Male, aet. 23. A native of Nyangwe. 
History : Three years in Leopoldville. Was ten days in prison before coming to hospital. In prison 
felt ill and had pains all over the bod}'. Could do no work, because of" giddiness, headache, and weakness. 
Condition. March 28, 1904 1 Nutrition fair. Eyes heavy. Intelligence fair. Complains of frontal 
headache. Tremors of lips and hands. Gait stead}'. Skin moist. Glands, except epitrochlear, 
enlarged. Oedema of feet and shins. 
Heart : Pulmonary second sound accentuated, rough and reduplicated ; apex in nipple line in sixth 
interspace. 
Spleen enlarged. • 
Liver normal. 
Lungs normal. 
Nervous System : Knee jerks normal. Cremasteric reflex increased. Pupil reacts to accommodation 
and light. Tongue very unsteady. 
April 1 5 : Sleeps a great deal in daytime. Unsteady gait. Very weak : cries for very little. Eyes 
sluggish to accommodation and light, pupils small. Tremor of legs when standing. Knee jerks and 
superficial reflexes increased. Nystagmus marked. During the voyage to England patient continued in 
about the same state. During the two days in Southampton he dozed most of the day. On arrival in 
Liverpool, May 24, he was able to walk to the cab. The man was placed in Dr. J. Hill Abram's Ward 
at the Royal Infirmary. 
The following notes are taken from the hospital records by permission of Dr. J. 
Hill Abram : — 
Present condition : Drowsiness and tremors. Lies on his back : not well nourished. Rash all over 
bod}'. Sleeps a great deal. Slight glandular enlargement in left axilla and neck, and considerable in 
inguinal regions. 
Alimentary System : Teeth good. Tongue tremulous and coated white. Abdomen slightly distended. 
No enlargement of liver, spleen, or stomach. 
Circulatory System : Pulse frequent, soft. Apex beat just perceptible and palpable in fifth space, three 
inches from middle line. Sounds normal and no hypertrophy. 
Respiratory System : Respiration frequent, tenderness and slight oedema over chest. 
Urinary System : 2674 grammes, sp. gr. 1025, alkaline, deposit of phosphates, no sugar, no albumen, 
Ehrlich reaction negative. 
Skin : Papular rash (scabies). 
'Nervous System : Very sleepy, general tremulousness. Pupils small. Knee jerk and plantar reflexes 
lively. 
On June 3, 4, and 5, profuse sweating at night. 
June 7 : Last three or four days seemed weaker. Cannot now feed himself nor walk. Cannot raise 
himself in bed. Urine and faeces passed involuntarily. Knee jerks present. No increase in drowsiness. 
Heart and lungs clear. Pulse, 108, softer. Occasional twitchings with considerable asthenic tremor in 
hands. Pupils small ; takes food readily, but has to be fed. Blood, haemoglobin, 65 per cent., red 
blood cells, 3,720,000, white blood cells, 7,812. Eosinophiles in comparison with the rest, not nearly 
so numerous as on Ma}' 25. 
June 9 : Conjunctivae injected and muco-purulent discharge. 
June 10, 2.50 to 3.15 a.m. : General convulsions, three fits, last fit continued for about ten minutes. 
Conjugate deviation of eyes and head to right. Both arms and legs worked, but right arm seemed to 
work more than the left, and movement was flexion and extension at elbow. Pulse 170. 
