197

   Hœmosozic value.—1.258 per cent. salt.

   Coagulation not so noticeably rapid as yesterday.

   Serum separated from clot markedly yellow with orange tint. Hæmoglobinæmia shown
by receiving blood into n/10 citrate and centrifugalising.

   Temperature varies between 101.6 and 104, falling after 5 p.m. to 98.8.

   18th January 1908.—Hæmoglobinous urine passed up to 12-50 P.M. After this the urine
contained albumen and urobilin but no hemoglobin.

   Isotonic point.—9 A.M.

   Hœmosozic value.—1.02% salt.

   Coagulation delayed. Buffy coat present.

   Hæmoglobinæmia not demonstrable. Yellow coloration much less intense.

   Spleen about the same size. No noticeable enlargement of liver.

   19th January 1908.—Urine contains much pink urates. No hæmoglobin but much urobilin
albumen present. Blood shows 17% large mononuclears and many endothelial
plaques.

   Isotonic point.—6 P.M.

   22nd January 1908.—After several days convalescence temperature rose this afternoon to
100 and the urine became brown, but no urobilin could be detected. Spleen only
just palpable. Polychromasia and presence of large cells extremely conspicuous
No mononuclear increase. Some leucocytosis.

   Went home for 21 days after his attack and was seen again on 20th May 1908. States
that he had no fever until the previous day. Fever commenced at 10 A.M.
continued all night until 3 P.M. yesterday at which time he took 15 grains quinine.

   20th May 1908.—No noticeable anæmia. No enlargement of the spleen to be made out.

      No parasites.

Isotonic point—

227 H.D.

3 D