Medicine - Institutions > Army health reports and medical documents > Scientific memoirs by officers of the Medical and Sanitary Departments of the Government of India > Number 19 - On kala azar, malaria and malarial cachexia > On kala azar, malaria and malarial cachexia
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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. |
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| Description | 61 volume new series covers bacteriological research work from 1902-1913 by Indian Medical Service staff. Laboratory experiments are recorded in detail. Many are accompanied by illustrations showing microscopic views and features of plant and animal matter. (Calcutta : Supt. of Govt. Print., India, 1885-1901.) |
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| Description | 12 titles describe the health and sanitary conditions of the army in India. Lists British, European and Indian troops plus families of military personnel. 3 volumes of army regulations included. 73 volumes make up the Scientific Memoirs series, a journal by Indian Medical Service staff. |
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| Description | The Institutions collection consists of 106 volumes from British India, dating from the 1860's to the 1940's. Divided into reports on medical institutions, army health, and lock hospitals. Education of indigenous medical students and maintenance of troop health shown in annual reports and statistical tables. |
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| Description | The India Papers collection contains publications of the central (Imperial) Government and many Indian states. Most states came under British rule. Much of the collection dates from between the post-Mutiny re-organisation of the Indian Government and Indian Independence in 1947. Some items published in London by John Murray. |
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