456 
THOMPSON YATES LABORATORIES REPORT 
Heart sounds : weak and distant, otherwise normal. 
Respiratory System: on admission 32, later in the day fell to 20 per minute, 
slight dyspnoea on exertion. 
Lungs : normal. 
Nervous System : no headache, legs weak ; patient said, they were much thinner 
than formerly, knee jerk and plantar reflexes present and easily obtainable. Sensation, 
normal. 
Urine: normal in quantity, sp. g. 1032 ; no chlorides, no albumen. 
Patient remained in hospital some fourteen days. Spleen became very painful 
about the 19th, but ultimately improved. 
The pulse and respiration were always frequent and varied on exertion and with 
the temperature. The temperature was a peculiar feature as seen in chart 2. There 
were three short periods of pyrexia, temperature reaching from 101 0 to 102 0 in a few 
hours and rapidly falling to below normal, with intervals of about three days of 
apyrexia. On two occasions I examined the blood for malaria parasites, once in an 
apyretic interval, and once during a period of pyrexia ; the examinations proved nega- 
tive. It will be noticed that the pulse was much more frequent during the time 
he was in hospital at home, very rarely being recorded below ninety beats per minute, 
although temperature was, as a rule, below normal. This differs somewhat from the 
recorded rate during the period in hospital at Bathurst. 
Patient left hospital improved, the pain over the spleen gone. He went away for 
a change, and finally returned to Bathurst in the early part of December, 1901. On 
the way out he was very ill with fever, which was diagnosed as pneumonia, though the 
doctor informed me that it was not a typical case. The sputum was never rusty, in fact, 
it was more of the nature of pure blood. It is unfortunate that no record of the 
case was kept at this time. 
I saw him for a short while after he landed at Bathurst. His appearance was 
much changed ; he was very much thinner, and walking readily produced fatigue. 
Dr. Forde asked me to make an examination of the blood ; unfortunately, I had 
arranged to go up the river, so it was not until my return on December 15 that I was 
able to do so. At 5 p.m., on this day, I took three drops of blood (three-quarter 
inch cover slips) fresh preparation. 
Examination with Zeiss A lens revealed nothing ; with a higher power (Zeiss 
D lens) 1 observed the trypanosome — to be described later. Only three of these 
organisms were present in the three slides. 
Condition of the Patient on his Return to the Gambia 
On his return to Bathurst, the patient was placed on the sick list as he had not 
yet completely recovered from the attack of pneumonia contracted on his way 
out. 
