i 5 8 
downwards in parallel fashion towards a very definite lower 
boundary. 
Pathological Report. 
Repeated search in films failed to show Leishman- Wright 
parasites. Bacteria were not infrequently met with. They were 
diplococci, very like pneumococci, and some short bacilli. 
Histologically it was a sore of papillomatous type. 
Case I . A man aged 21. Admitted on March 17, 1909, under 
Mr. Richards. No venereal history in self or family; no similar 
growths in the village; has inquired from everyone. 
I he present masses appeared six months ago, and have been 
painful enough to prevent his working for the last three months. 
On the left foot is a patch, three inches by two, on the outer 
side of the front of the ankle, raised a quarter of an inch from 
the surface, partly skin-covered, partly granulomatous, surface like 
a cauliflower, definite sinuous raised edge surrounded by healthy 
skin. 
A second similar patch, four inches by tw r o, rising abruptly 
half an inch from healthy skin, starts at the front border of the 
tibia, and goes round past the tendo Achillis. The edge of the 
growth overlaps the surrounding skin. Both masses have yellow 
scabs adherent to their surface in places, and smell foul. Inguinal 
gands enlarged, foot and leg oedematous. The growths were 
do,T ^ ^ r ' Be y Ibrahim, and immediate skin-grafting 
Patient discharged cured soon afterwards. 
Pathological Report (A.R.F.) 
Deneh-ati SSUC * S essen tially of papillomatous structure, the 
zone of ^ TV*' C ° Iumns Passing into an almost continuous 
Qv m / 1 CC ec ^ infiltration. On careful examination, this 
Giemsa’s civ m ° nonucIear ln character. In films treated by 
resend 1 * n ’ ai ^° numbers of bodies having the closest 
resemblance to the parasite of Kala-Azar (Z. Sonovam) but 
