16 THOMPSON YATES AND JOHNSTON LABORATORIES REPORT 
Blood count January 19, 1903, eight hundred cells from five slides were 
counted, Romanowsky effect good in two of these. 
Neutrophils - - 5 3 • 2 6 per cent. 
Eosinophils - - 5' -5 p er cent. 
Mast cells - - - 1*25 per cent. 
Mononuclear, small cells, 26-62 per cent. — Lymphocytes - 26-25 per cent. 
,, with irregular 
nuclei, 0*37 per cent. 
large cells, 13*62 per cent.— Large lymphocytes, 9*00 per cent. 
,, mononuclears, 0^25 per cent. 
ioo - oo Transitional s - 4' 3 7 per cent. 
About tour per cent, of lymphocytes contained granules. 
,, eight ,, of large lymphocytes contained granules. 
On March 20 we received a message saying that Mr. Q. was very ill and 
asking us to go to him. 
Unfortunately we reached Sakuta too late to see him alive. His native wife 
refused to allow an autopsy, and we were able to gather but a very meagre history of 
his last illness from those neighbouring: traders who had seen him and from his native 
servant. We were told that his last illness had commenced with a ' cold and fever ' 
on the 1 6th of March. Two days later he went to bed complaining of headache and 
pain over the spleen. On the 20th he was ' unconscious, and unable to speak or 
swallow, his throat seemed to pain him,' and he died during the early morning of the 
22nd, three hours before we reached him. No more accurate information than this 
could be obtained from the more or less conflicting reports proffered us. 
We were permitted to examine the body. P.-M. rigidity and hypostatic 
congestion of dependent parts were marked. There was the usual slight oedema of 
shins and ankles only. No fluid was found in the peritoneal or pleural cavities by 
aspiration. No parasites were found in blood taken with a syringe from the spleen 
and heart. A rat inoculated with heart's blood taken at this time has never become 
infected. 
The original disease in this case commenced in October, 19c I, so that its 
duration was almost the same as that of Mr. K.'s illness, viz., one-and-a-half years. 
The regrettable incompleteness of our notes on this case is largely due to the 
patient's unfortunate objection to a systematic examination. 
