33
III
I SHALL now give the results of my examinations of the blood of 68 patients
who suffered from kala azar in different parts of Assam and Bengal. The
method by which a diagnosis of kala azar was arrived at in these cases has
been described in the preceding section.
Assam.
Result of examination of finger blood, |
Result of examination of splenic blood. |
|
GAUHATI AND ULLOOBARI. | ||
Case 1.—Elizabeth, a female child, aged 4 years ; seen in her mother's house at Gauhati; has been suffering from fever almost daily for 11 months ; is extremely emaciated; has had several attacks of dysentery and is now suffering from diarrhœa and cough. It appears to me that she cannot live at the most more than a month or two longer. Spleen enlarged to umbilicus. Liver enlarged 1 inch below costal margin. |
No malaria parasites; no pigment; no other parasites. |
A large number of " Leish- man " parasites both free and enclosed in mononuclear cells; no malaria parasites; no pigment. |
Case 2.—Hudoo, native boy, aged 13 years; an out-patient at Gauhati dispensary; has been ill for 2 years; is very emaciated and anæmic, but walks about. Spleen enlarged to umbilicus. No enlargement of liver detected. |
No malaria parasites; no pigment; no other parasites. |
A large number of" Leish- man " parasites; no malaria parasites; no pigment. |
Case 3.—Seban, girl, aged 13 years; an out-patient at Gauhati dispensary; has been ill 6 months ; gets fever every day; is very anæmic, but not markedly emaciated. |
No malaria parasites; no pigment; no other parasites. |
Many " Leishman " para- sites; no malaria para- sites; no pigment. |
Case 4.—Jadoo, man, aged 24 years; seen in his house at Ulloobari village; is extremely ema- ciated and too weak to stand. It appears to me that he cannot live more than a week or two longer. Spleen and liver greatly enlarged; they stand out prominently as large tumours under the stretched skin of his sunken abdomen. |
No malaria parasites; no pigment; no other parasites. |
Many " Leishman " parasites; no malaria parasites; no pigment. |
Case 5.—Durrang Singh, boy, aged 14 years; seen at Ulloobar i village; is walking about, but has high fever; his father says that he is rapidly losing flesh and he is greatly emaciated now. Spleen enlarged beyond the umbilicus, liver 2 inches below the ribs. |
Many Simple Tertian malaria parasites; no other parasites. |
Numerous " Leishman " parasites, a few pigment- ed large mononuclear cells, but no malaria parasites seen. |
Case 6.—Coonkee, sister of previous patient; gets fever occasionally and is very weak and thin. Spleen enlarged to umbilicus. Liver 1 inch below ribs. |
No malaria parasites; no pigment; no other parasites. |
Many " Leishman " parasites; no malaria parasites; no pigment. |
F