21
15-12-02 | . | . | A few medium-sized Simple Tertian parasites; a good many crescents. |
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19-12-02 | . | . | A few young Simple Tertian parasites; a few crescents. | ||
23-12-02 | . | . | Crescents only found. Spleen 2 inches below the costal margin. |
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26-12-02 | . | . | Crescents; pigmented leucocytes; a few very young rings (? S. T.) | ||
28-12-02 | . | . | Crescents; pigmented leucocytes; rings and large Simple Tertian parasites. |
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30-12-02 | . | . | Crescents; a few young rings; a good many medium-sized Simple Tertian parasites. |
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2-1-03 | . | . | Many young Simple and Malignant Tertian rings; a few large Simple Tertian parasites; crescents. |
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4-1-03 | . | . | A good many large Simple Tertian parasites; a few Malignant Tertian rings; a good many crescents. |
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6-1-03 | . | . | 12 noon. Temp. 103°. Many crescents; several pigmented leucocytes: no rings seen. |
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7 P.M. Temp. 102.4°. Many crescents; numerous heavily pigmented leucocytes; one segmenting Malignant Tertian parasite; no rings seen. |
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10-45 P.M. Temp. 103°. Crescents and pigmented leucocytes ; two rings after long search. |
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7-1-03 | . | . | 2-30 A.M. Temp. 103.2°. Many crescents and pigmented leucocytes; two rings. |
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8-30 A.M. Many crescents and pigmented leucocytes; no rings found. |
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4 P.M. | Ditto | ditto. | |||
8 P.M. | Ditto | ditto. | |||
12 P.M. | Ditto | ditto. | |||
9-1-03 | . | . | Crescents only found. Spleen 3½ inches below costal margin. | ||
12-1-03 | . | . | Ditto | ditto. | |
19-1-03 | . | . | Crescents still present in fair numbers; no other parasites found. | ||
28-1-03 | . | . | A few medium sized Simple Tertian parasites; crescents still present. |
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8-2-03 | . | . | One Malignant Tertian ring form; two Simple Tertian parasites in stippled cells. |
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16-2-03 | . | . | One ring only found after long search. | ||
24-2-03 | . | . | Crescents present in fair numbers. Spleen 3 inches below costal margin. |
Signs and symptoms; diagnosis by clinical methods.—Although the
infection with Malignant Tertian parasites found in November was probably a new
one, it was known that the patient had suffered from an untreated infection with
Simple Tertian parasites since the previous April, and throughout the summer his
spleen had been enlarged nearly to the umbilicus; so that a diagnosis of " malarial
cachexia " was justifiable. Despite the severe infection there is nothing of note
to record regarding the symptoms. As in the other cases, the illness consisted of
a series of attacks of fever, during which the boy was obviously ill, separated by
intervals of apyrexia, during which he recovered. On the whole, he appeared no
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