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Case XXIII.—Baradighi. April 1908.

   Coolie. Age 58.

         Native country.—Ranchi, Chota Nagpur.

         Length of residence in Duars.—14 years.

   History.—Unknown.

           2nd April 1908.—Had fever with temperature of 104.

           3rd April 1908.—Temperature 104. Vomiting. Passed reddish black urine.

           4th April 1908.—Continued to pass black urine. Jaundice.

           5th April 1908.—Temperature in the morning 102. Urine a little clearer.

           6th April 1908.—Temperature in the morning 99, in the evening 102.

   Seen by us on this day.—Marked anæmia. Slight jaundice. Hæmoglobinuria ceased.
Films of peripheral blood showed some engulfed red cells, shadows, endothelial
plaques, polychromasia, and nucleated red cells. No parasites or pigmented
leucocytes.

Case XXIV.—Huldibari. May 1908.

   Chinaman. Age 35.

     Native country.—China.

     Length of residence in Duars.—3 years.

   History.—States has had much fever at first but not so much latterly. Had two days
     fever recently.

   7th May 1908.—Seen by Dr. Babu who found he had a temperature of 105° and was
 passing hæmoglobinous urine. Temperature in the evening 103.

   8th and 9th May 1908.—Temperature still high.

   Seen by us next day.—Was passing very small quantities of very dark, nearly black
hæmoglobinurious urine. Anæmia. Marked yellow colouration of conjunctivæ.
Spleen slightly enlarged. Splenic puncture performed. Spleen blood showed
much recent malignant tertain pigment, both scattered and in the form of reli-
quats, also a segmenting malignant tertian parasite.

   Blood.—Serum showed orange tint chracteristic of hæmoglobinæmia. No tendency
for clot to dissolve in serum. Blood received into citrate solution shows hæmo-
globinæmia.

   Films of peripheral blood show some large endothelial plaques and some included red
cell shadows

A count of 500 cells gave:—

      Polymorphonuclears .. .. .. .. .. .. 75
      Large mononuclears .. .. .. .. .. .. 11.7
      Small mononuclears .. .. .. .. .. .. 12.3
      Transitiona .. .. .. .. .. .. .5
      Eosinophiles .. .. .. .. .. .. .3

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India Papers > Medicine - Institutions > Army health reports and medical documents > Scientific memoirs by officers of the Medical and Sanitary Departments of the Government of India > Black-water fever > Part VI > (215) Page 203
(215) Page 203
Permanent URLhttps://digital.nls.uk/75060887
Part VI
DescriptionAppendix
Number 35 - Black-water fever
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Scientific memoirs by officers of the Medical and Sanitary Departments of the Government of India
Description61 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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Army health reports and medical documents
Description12 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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Medicine - Institutions
DescriptionThe 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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