309 
day, the day before the fever of the 9th day commenced, and fell 10 
percent, daily during the next four days — the total fall being from 
75 to 25 per cent, during seven days. It remained at the latter 
figure and then rose by about 5 per cent, daily for four days, and 
then more slowly. A slight fall interrupted the continuous rise on 
the 29th day, but on the 40th day the haemoglobin had reached 
90 per cent. During the second relapse, occurring on the 42nd day, 
it underwent a total fall of only 12 per cent. 
The red cells varied as follows: — 
Days . II 12 '4 18 20 21 22 25 29 
Numbers in thousands 2,600 1,150 800 1,450 1,600 1,900 2,000 2,500 2,800 
Regarding the urobilin (G. C. E. S.), there was only a very slight 
rise in the urinary excretion, reaching a maximum of 63 mgms. during 
the first febrile period. During this time two observations of the 
faecal excretion disclosed a total of 1,836 mgms. Commencing from 
the 10th day the faeces were examined continuously, and disclosed 
a urobilin excretion of 32,500 mgms. during six days, falling after 
this to the low figure of 100 mgms. per diem. During the blackwater 
period there was a marked degree of urinary urobilin, namely, 340 
mgms. on the 10th day, 300 mgms. on the 1 ith day and 1 15 mgms. 
on the 12th day—after which it fell to the low level of 30 to 60 mgms. 
a day. The actual quantity of haemoglobin in the urine was 
and reached its hei 
ght at 7 
p.m. 
on the 
10th day, 
and 
then fell 
gradually as follows: 
1 OTH 
Day 
Hours . 
... 
.. 
10 a.m. 
7 p.m. 
11 p.m. 
Quantity of urine. 
... 
.. 
. 
.. 95C.C. 
90 c.c. 
200 c.c. 
Amount of Hbg. (expressed 
as red blood 
cells by 
volume) 
,. Trace 
4-5 c.c. 
0-5 c.c. 
I ITH 
Day 
Hours . 
2 a.m. 
9 a.m. 
12 noon 
7 p.m. 
9 p.m. 
Quantity of urine 
. 
250 c.c 
no 
200 
625 
360 c.c. 
Amount of Hbg. (expressed 
as red blood 
0-33 c.c. 
1-98 C.c. 
celb bv volume) ... 
. 
0-625 c. 
c. 0-055 c - c - 
I 2 TH 
Day 
Hour . 
. 
3.30 a.m. 
Quantity of urine. 
. 
570 c.c. 
Amount of Hbg. (expressed 
as red blood 
cells by 
volume) 
.. 
. 
O' 
