TRYPANOSOMIASIS EXPEDITION TO SENEGAMBIA 15 
It is most unfortunate that we were never able to obtain a specimen of urine 
for examination from this case. Sexual impotence which had been a feature in the 
first European case was absent here. 
October 26 : Pulse, 99 ; respiration, 18 ; temperature, 99*4° F. (Taken 
while sitting;). Four to seven trypanosomes were present in each coverslip prepara- 
tion at this date. 
Mr. Q. was again seen on January 19 at his Sakuta factory. He then felt 
much better. Shortness of breath and palpitation had left him, and he had gained 
flesh, his weight at this time being one hundred and seventy-five pounds. 
He had taken none of the solutions of arsenic which Dr. Chichester had 
prescribed for him in October, 1902, and ascribed his improved condition to quinine 
and patent medicines which he had used rather freely. One of the latter consisted 
of methylene blue tablets. 
Objectively his condition was the same as it was three months previously. 
We again saw no macular erythemata nor marked oedema. There was still 
slight pitting over shins and ankles, slight temperature and frequency of pulse and 
respiration. Pulse, 104; respiration, 18 ; temperature, 98-2° F. 
About five c.cm. of blood was centrifuged, in it nineteen trypanosomes 
were found. 
A blood count showed — 
Red cells - 4,350,000 
White cells - 8,000 
Haemoglobin - 96 per cent. 
Differential counts of leucocytes made on preparations taken on two different 
dates were as follows : — 
Blood count from five slides November 9, 1902, 1,100 cells counted. Stained 
with Romanowsky, effect not good, as no granules are seen in mononuclears. 
Neutrophils - - 62*76 per cent. 
Eosinophiles - 6*45 per cent. 
Mast cells - - 0*72 per cent. 
Mononuclear, small cells, 19*54 per cent. — Lymphocytes - 19*36 per cent. 
,, with irregular 
nuclei, o* 1 8 per cent. 
,, large cells 10*53 per cent.— ,, large, 6 - 8i percent. 
Large mononuclear, o - 1 8 percent. 
1 ocoo Transitionals - 3*54 per cent. 
