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doubtless of the species L. tropica are found, both free and in the 
interior of large mononuclear phagocytes. 
Case VI. A man aged 60, admitted August 23, 1909. A year 
ago a swelling appeared on the forearm, near the wrist, and four 
months ago a smaller one came higher up. 
Two rough raised patches with thick everted edges, covered 
with scabs, and containing maggots. They were excised, and he 
was discharged cured. 
Pathological Report. 
No Leishman-Wright parasites found in scrapings. A good 
deal of mixed bacterial invasion, which may account for their 
absence. I have no doubt the growth is a parasitic papilloma. 
Case VII. A man aged 26, admitted March 31, 1909, under 
Mr. Richards. Nine months ago a number of small red lumps 
appeared near one another on the inside of the middle of the left 
forearm. 
The growth is superficial, does not affect movements. Its edge 
and part of its surface arc covered with skin. 1 reated by excision 
and grafting, and discharged cured April 24. 
Pathological Report. 
Search for parasites, so far, negative. A rich secondary 
microbial infection, which adds to the difficulty of the search. 1 he 
margins are diffusely infiltrated with pus. 
Second Report. Prolonged examination revealed the presence, 
in the films, of the same parasite (Leishmania tropica ) as was 
discovered in a preceding case (No. V), but in very scanty numbers. 
These were only found free amongst the bacteria of secondary 
invasion. Although their form was identical with that of those 
previously found, the staining of their cytoplasm, and in particu 
that of their larger chromatin masses was defective. 
Case VIII. PI. XIII, figs. 8. A man aged 45 . admitte 
October 27, 1909, under Mr. Richards. His trouble began 
small boil ten years ago, and has increased since. No 
No similar cases in the village. 
