Medical Officers of the Army of India.

31

faithful, as far as my indifferent powers of drawing permit, and can only
regret that the apparatus at my disposal during the past two years has not
been such as to enable satisfactory photo-micrographs to be made with the
high powers necessary. All the drawings of blood cells and parasites have
been made by the aid of a Natchet's or Abbe's camera lucida with a Zeiss 1/1:2"
objective (oil immersion), and the No. 4 eye-piece, so the magnification is con-
stant.

Quartan Fever.

     Cases of simple quartan fever are comparatively seldom available for con-
tinued investigation. They do not often apply for indoor relief, partly, pro-
bably, owing to the fact that the general health may be fairly well preserved
throughout a long period, partly to the circumstance that a belief pervails
amongst certain of the people in this part of India that " chauthe din ke
bukhár " is not susceptible of cure by medicine. Several cases have been
examined amongst out-door patients, but the two following may be taken as
typical.

     1. Sikandar Khán, Pathan, æt. circ. 30, a native of Bannu. This patient
was admitted in March. 1895, suffering from anæmia with dyspnœa, irregu-
larity of the cardiac action and dyspepsia. He had a history of syphilis of
some years' standing, and of occasional attacks of intermittent fever; in autumn
1894, he had suffered from what had apparently been an attack of quotidian
intermittent fever. On examination, the spleen was found to be enlarged, pro-
jecting about 3 inches below the left costal arch in the mammary line. On the
11th his blood was examined at 10 A.M. with the object of counting the cor-
puscles. Up to this time he had had no fever for some months. With the
Zeiss D. D. objective and No. 2 eye-piece, melanin-bearing bodies were seen;
on examination by a higher power they were found to be fully developed
spherical parasitic bodies, many showing typical daisy-shaped sporulation as
described by Golgi. The patient was told that he would have fever within a
very short time, and instructions were given to take his temperature carefully
every few hours. It began to rise at about 11 A.M., and at 2 P.M. registered
102.8, at which it remained till 5 P.M., when it began to fall, and by 11 P.M.
was again normal. On the 12th and 13th he had no fever, on the 14th at 2-30
P.M., the temperature rose to 101·8 and again remained above normal till 11 P.M.
Quinine was now administered, in 15 grain doses of the sulphate, three times
a day, and the patient had no further febrile paroxysm, The blood was ex-
amined at regular intervals with the results given below. The patient was given
quinine, in 10 grain doses, thrice a day, regularly during the succeeding fortnight,
and had no return of the fever up to the date of his leaving hospital in
May. During this time he improved very much in general health, the spleen