3« 
puffy erythematous patches on his face and trunk, and once a big. 
swollen red and very tender patch on one gluteal regioo. 
Occasionally he had slight fever, and trypanosomes could usually be 
found in his blood. A princij)al complaint was of weakness and 
stiffness of the legs. 
He was subjected to a variety of treatments, including arsenic 
and trypanroth, but not, so far as I know, atoxyl. 
I lost sight of him. I heard that ultimately well marked sleeping 
sickness symptoms set in, and he died in University College Hospital 
in 1906. 
VI. — Mrs. R., aged 31, had resided on the Congo (Bogandango) 
from 1898 to 1902, and, with the exception of fever for three days, 
during all that time had enjoyed good health. After furlough in 
England she returned to the Congo in September, 1903. She kept 
fairly well till June 15th, 1905, when she had a severe attack of 
abdominal pain, vomiting and diarrhoea. These symptoms recurred 
three days later (June 19th), when they were accompanied by fever 
and, on the following day, by haemoglobinuria. The haeraoglobinuria 
persisted for five days. During convalescence she noticed that her 
right ankle had become enormously swollen, purplish in colour and 
very painful; at the same time a gland in the corresponding groin 
enlarged to the size of a hen’s egg. Fever returned on June 26th 
and subsequently, off and on, about every four or five days, till 
September, when, being greatly debilitated, she was ordered home. 
On her way down river she was examined by Dr. Broden at Leopold¬ 
ville, who found trypanosomes in her blood, besides enlarged cervical 
glands and a rapid pulse (120) with a normal temperature 
• . j lyu^. j>ne was then ven* mi 
emaciated, feeble and sallow. There were patches of rim 
erythema on her chest and flanks and some enlarged cervical gl^ 
blood count 3.700.000. ■ P^^ent in the bloo 
-'lie was sent to 
Donovan's solution" On No , and, la 
,»...r:,-”-;. roit 
