213

July 10.—Had fever, but no treatment.

July 11.—Had fever, but no treatment.

July 12.—Had still got fever and becoming frightened, took 3 doses of grs. 5 each
quinine. At 7-30 noticed dark urine and temperature rose from 103 to 104.6
in the night.

July 13.—When seen urine was commencing to clear. There was marked bilious
vomiting, vomit being of a dark green colour. Jaundice was marked, and the
spleen was enlarged a hand's breadth below ribs. There was not much tender-
ness of the epigastrium. The serum was intensely yellow coloured and on
examination with the microspectroscope showed absorption bands similar to
urobilin. No hemoglobin could be detected in the serum at this time. Blood
examination showed no parasites on casual examination, complete examina-
tion has not yet been possible. Blood corpuscles gave an isotonic point of
.425 per cent. salt solution, and gave an isolysin reaction, hæmolysing with
class A serum. The serum did not hæmolyse class A corpuscles.

227 H. D.

3H