Reports of the trypanosomiasis expedition to the Congo, 1903-1904 of the Liverpool School of Tropical Medicine and Medical Parasitology / J. Everett Dutton, John L. Todd and Cuthbert Christy; with a comparison of the trypanosomes of Uganda and the Congo Free State / by H. Wolferstan Thomas and Stanley F. Linton; and supplementary notes on the tsetse-flies (genus 'Glossina', Wiedemann) / by Ernest E. Austen. Bound together with.

  • Dutton, Joseph Everett, 1877-1905.
Date:
1904-1905
Catalogue details

Licence: In copyright

Credit: Reports of the trypanosomiasis expedition to the Congo, 1903-1904 of the Liverpool School of Tropical Medicine and Medical Parasitology / J. Everett Dutton, John L. Todd and Cuthbert Christy; with a comparison of the trypanosomes of Uganda and the Congo Free State / by H. Wolferstan Thomas and Stanley F. Linton; and supplementary notes on the tsetse-flies (genus 'Glossina', Wiedemann) / by Ernest E. Austen. Bound together with. Source: Wellcome Collection.

Provider: This material has been provided by London School of Hygiene & Tropical Medicine Library & Archives Service. The original may be consulted at London School of Hygiene & Tropical Medicine Library & Archives Service.

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    his attention engaged, no swaying or falling occurs even if the heels are together. At night he will sit quite motionless without trembling. He is fanciful in his wishes and tastes, and very quarrelsome with his companions. Respiratory system : Lungs normal ; expansion good. Circulatory system: Heart, normal size and position. Slight accentuation of pulmonary sound. Pulse variable, often markedly irregular, quick, without tone, and soft, at other times of high tension with a slow but regular rhythm. Digestive system: Teeth good ; faeces contain ova of Ankylostoma duodenale. Liver not enlarged nor painful. Spleen moderately enlarged, not painful on palpation. Genito-urinary system : Urine normal, sp. gr. 1020. No albumen. No sugar. Analysis of Urine made by Mr. Edie, Laboratory for Bio-Chemistry Date c.c. Urine Sp. Gr. Reaction Cram Total Nitrogen Gram Urea Gram Uric Acid Gram NH, |unc 17 325 IOI4 Neutral 3-14 5-82 • 11 ■05 Albumen and Sugar absent Glandular system. All groups enlarged, especially right. Inguinal and left cervical freely moveable, not painful. Aural and nasal systems normal. Pupil not dilated. Reaction to accommodation and light normal. Small opacity on cornea of left eye about 1 mm. in diameter. Nervous system: Knee jerks increased. Cremasteric, epigastric, and anal reflexes not accentuated. ]aw clonus normal. Ankle clonus very accentuated at times. Electrical reaction of skin normal. Some of the peripheral nerves reacted very slowly to the galvanic and faradaic currents. Some evidenced the degeneration reaction. The majority reacted normally. From May 25 to June 11 the boy continued in the same state, seemed to gain in strength and became less excitable. The tremors became less accentuated and he learnt rapidly. At times he would become depressed and say he had 'manimba' and was going to die. Sleep symptoms were not noticed. During this period the parasites were always scanty, but appeared to be increasing on the 12th. On that day he finished his work and went to dinner; at 2 p.m. the attendant came and said he could not wake him. He was found lying on his side with his knees drawn up, apparently asleep and perfectly motionless. On being shaken and shouted at he would open his eyes and utter a word and then relapse into the somnolent state. The temperature per rectum was o,6-2c F. The cremasteric and epigastric reflexes normal, the anal much less. The knee jerk was much lessened. Respiration, 22, full and regular. Pulse, 100, soft, low tension, and irregular. After four hours he woke up and appeared to feel as usual, though somewhat dazed and unsteady in his gait. For the next two days he was kept in bed, but was always getting out and sitting on a chair. Parasites were increasing in numbers. The temperature continued sub-normal. On the 15th, 30 c.c. of cerebro-spinal fluid was drawn off by Dr. Christy without difficult}', the fluid welling out when the needle entered the canal. The clear fluid, not contaminated with blood, contained trypanosomes, as many as five to a field. The blood at this time contained 700 to a cover, irregularly distributed, groups of two, four, and six being