M 
hands, ankles and knees, for wJiich she took sodium salicylate with 
some relief. She informed me that the attacks of fever were preceded 
and accompanied by a circinatc erythematous eruption on her face, 
limbs and trunk, and that this tended to subside with the subsidence 
of the fever. She was anaemic and her skin showed traces of the 
erythema she referred to. The spleen and liver were not palpably 
enlarged. 
As the trypanosoma had not been discovered at that time I 
regarded the case as one of malaria, and prescribed a systematic 
course of quinine. 
I saw this lady again on April 9th. 1902. She told me she had 
improved, notwithstanding the fatigue consequent on the illness of 
her baby which had died on December 19th, 1901 (? trypanosomiasis). 
Three weeks before her visit to me slie had caught a chill and the 
fever, which had been in abeyance for a long time, had returned. 
During this period of three weeks she had had three attacks. 
Nevertheless, as compared with her condition in July, 1901, she had 
put on flesh and no longer appeared anaemic She informed me that 
the patches of erythema still showed themselves at times, but were 
less pronounced than formerly. 
I did not see this patient again at this time, but learned that she 
had an attack of irido-cyclitis and that subsequently she returned 
.nH f i learned from Dutton's cas^ 
Africa orol IT “ were .n a pat.ent from tropica 
letter I heard from Dr. Broden that hr^!. ^ 
had found the parasite. examined her blood anc 
welf'F^eTerTnrtrrtnos “""T ^he case dtd 
a subsequent visit to Englm^Tn I saw her during 
I showed this lady to tuftrv ' ‘hem, 
under treatment as an example patients I had at the time 
was ^ stout and healthy S “VlTT 'T disease. She 
‘he infection. I hear she is sti’lTin eTcellemTerhT" 
