TRYPANOSOMIASIS EXPEDITION TO SENEGAMBIA 
i3 
evening the temperature was 104 J , the pulse, 126, and respiration, 28. On 
the morning of the next day, the temperature, which had continued high 
during the day, was 105 0 F. ; pulse, 130; respiration, 30. There was some 
delirium, and the patient recognized his friends with difficulty. The respiration 
hecame of Cheyne-Stokes character, and there was some difficulty in utterance ; the 
pupils appeared normal. An examination ot the patient revealed nothing to account 
for the acuteness of the symptoms, which indicated some cerebral disturbance. The 
patient seemed to be in extremis, but rallied considerably during the next day, the 
temperature gradually falling to I02'5° F., while the pulse and respirations remained 
about the same ; there was no delirium. On the morning of January 1, the 
temperature fell further to ioi° F., but the respirations became still more frequent, 
reaching 60 to 70, until death occurred, the patient remaining conscious almost to the 
end. An autopsy was unobtainable. 
Case 2. — The second ' European ' case observed by us was Mr. Q. 
He was a quadroon and was educated 111 England, though born in Gambia, 
where he has been resident for the past twenty-four years as a trader. He spent a 
good deal of his time on or near the river and in swamps while occupied in getting 
out either lotjs ot mahogany or loads of piassava fibre. For the two years before his 
death he had lived on the river's bank at his Sakuta factory, situated roughly one 
hundred and thirty-five miles from the sea. His house was built upon a bit of fairly 
dry ground about three feet above high tide. It was quite cut off from the main 
land by a huge swamp, which was impassable except in the middle of the dry season. 
Mosquitoes of all sorts bred and multiplied in this swamp, and they, with Tabani and 
innumerable Glossinae, were a continual pest. 
During his rough life he very frequently lived for long periods in native 
villages, almost as a native. From these circumstances it can be gathered that he was 
very constantly exposed to, and very frequently bitten by all sorts of blood-sucking 
insects. In spite of this insanitary life Mr. Q. had, of late years at least, been very 
well, and had never suffered from ' fever,' although when he first came to the Colony 
he had had a good deal of ' malaria.' His habits were fairly regular. He smoked 
but little, and only occasionally indulged in too much alcohol. He was rather a 
heavily, sturdily-built man, aged fifty-six years. His height was five feet six inches, 
and his weight, in health, one hundred and ninety-four pounds. He was active in 
habits and robust in constitution, and, except during his periodic attacks of fever, 
felt quite well. 
When we first saw him in October, 1902, he complained ot not being well, 
and said that : — 
(1) He had lost flesh, weighing only one hundred and fifty-six pounds, 
instead of one hundred and ninety-four pounds as formerly. Weight 
