— 632 — 
nuclears (fig. 4). Curved blepharoplasts were again noted in some 
of them. 
Blood and white cheesy matter mixed were also obtained from 
this growth, kept in a sealed, stérile capillary tube for six hours 
at room température (about 35 0 C) and then smeared and stained. 
Parasites were found free and in mononuclears and groups of 
what seemed to be large cocci were observed as was a number of 
pale blue homogenous, structurless masses with regular outlines, 
probably formed from the matrix of ruptured host cells. 
III. Lejt upper arm growth. — Parasites fairlv numerous. Coc- 
coid bodies and pink pyriform and wedge-shaped cells présent. 
Small clumps comparatively common. A large cell noted which 
stains a pale blue and contains a faint indication of what may 
be a large nucléus, although the latter stains more faintly than 
the cell protoplasm. Similar large blue cells hâve been seen in 
splenic smears from cases of kala-azar. 
IV. Lejt jorearm growth (subsequently excised). — Sérum and 
a little blood was obtained. There Avéré many parasites in the 
mononuclears. Cells like degenerated leucocytes présent. 
V. Right shoulder growth. — Large numbers of parasites both 
free and in the mononuclears. Free clumps well seen. Degene¬ 
rated white cells noted. 
VI. Right upper arm growth. — Parasites very numerous and 
are more spherical in shape than in the other films. Mononu¬ 
clears crewded with them. Vacuoles Avell marked. Rod-shaped, 
curved and spherical blepharoplasts. One form noted with tAvo 
nuclei, a Avell marked vacuole and a single curved blepharoplast. 
This possibly represents a dAiding parasite. Some \ 7 ery curious 
masses observed either the resuit of fusion or of dAision. A 
small accessory groAvth situated close to the main tumour also 
showed the parasites. 
VII. Growth on hack. — A film made from the content of this 
small groAvth shoAved no parasites. 
VIII. Thig h growths. — From these tiny tumours onlv Avhite 
cheesy sebaceous-like matter Avas obtained. Films Avéré made of 
it and coccal forms of tAvo kinds Avéré found, one resembling 
those seen in the smears of similar material from the neck 
groAvth and taking on a deeper stain than the other which con- 
sisted of small cocci of the usual type occurring largely as diplo- 
cocci. 
7 
