193

   History.—No history of previous attacks. Has had enlarged spleen for ten years or
more. Was recently home for eight months. Has been back in the Duars for 15
months, six at Sissibari, one at Bentguri,some months near Darjeeling, and
two months at Baradigi. Since return from home has been getting fever once
a month or so. At Sissibari had five attacks.

   13th December 1907.—Felt a little fever and ague for which he took 10 grains of
quinine.

   14th December 1907.—Felt all right.

   15th December 1907.—Was all right and working in the tea-house, but at 3 P.M. passed
reddish black urine and had ague. His temperature shortly after was 105. He
passed dark urine three times up to 10 P.M.

   16th December 1907.—Urine clear. Temperature in the morning 97, at evening 100.

   17th December 1907.—Seen by Dr. McCutcheon, who took a blood film. His temperature
on this and the next day was normal in the morning but rose to 100 in the evening.

   Seen by us 19th December 1907.—Anæmia not marked. No distinct yellowness.
Spleen five fingers below the costal margin. Blood taken on the 17th showed no
parasites or pigmented cells, nor were engulfed shadow corpuscles seen. Large
mononuclears numbered in a count of 1,200 leucocytes 18 per cent. Some
myelocytes were present.

   Case XIX.—Bentguri garden. January 1908.

   Mahomedan Bearer, age 32.

   Native country.—Mongyr District.

   Length of residence in Duars.-12 years.

   History. Went home on leave on account of fever and spleen. Suffered severely
whilst at home from fever. Came back to Bentguri five months ago, and has
been living at the Assistant's bungalow, until six weeks ago when he moved with
his master to the Manager's bungalow.

   He is believed by his master to have had previous attacks, but he himself denies this.

   28th December 1907.—Had slight fever and took 10 grains of quinine. States he has
had no quinine since except two doses of spleen mixture which he took four days
before the onset of the present attack.

   7th January 1908.—In the evening about 6 P.M._had a little fever and was given 10
grains phenacetin by his master.

   8th January 1908.—In the morning felt all right and worked till 10-30 A.M. At this
time he had a severe rigor lasting about two hours with an intermission during
which he sweated profusely. Urine passed at 1-30 P.M. and in the afternoon
hemoglobinous. His temperature at 2 and at 4 P.M. was 102.

227 H. D.

3c