Reports of the Sleeping Sickness Commission. No. I.

  • Royal Society (Great Britain). Sleeping Sickness Commission
Date:
1903
Catalogue details

Licence: In copyright

Credit: Reports of the Sleeping Sickness Commission. No. I. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    Case 37.—Kiagabidoia (Male). Age 50 years. District, ]>ussi. (Occupation, Fislierman. Food, Fish, Bananas, and Sweet Potatoes. -Maix-h '2o, 1903. Admitted to hospital. He states he has been ill more than two months. There had not I)een any other cases of sleeping sickness in the same house. April 15. General (JGnJition.—Development and nutrition poor. Gait unsteady and weak, l)Ut not very typical. Intelligence fair. Expression of face dull, but not characteristic of sleeping sickness. Xo redema. Glands generally enlarged. Complains of pain in thighs, but no headache. Pulse 74. Xo cutaneous eruptions. Xerv(jus Si/dem.—Intelligence and memory fair. Sleep not excessive. Speech normal. Eyes normal. Tongue jerky. Knee-jerk present. Aidde clonus absent. Alimentarji Si/alem.—Appetite good. Tongue moist and furred. Liver and spleen not ejilarged. Circulator)/ Si/deai.—Impulse of heart cannot Ije felt. Sounds normal. Skin.—Scaly on legs. -May 4. Tongue still tremulous. Marked tremor of hands. His speech is weak and monotonous. He is reported as not sleeping during the day. May 6. He is becoming very feeble and tremulous. May 20. There is right facial paralysis to-day. He cannot walk now. May 22. Died at 11 p.m. The following chart (p. 75) represents the course of the disease, the followi)ig table shows the presence or absence of trypanosoma in the blood and cerebro-spinal fluid :— JJiUe. Parasites in blood. Parasites ill C. S. Iluid. ' Filaria. ilalaria. Trypaiiosoina. Filai ifi. Trypaiio.soma. ' It03. Mar. 28.. .. Apr. 1.... ~ T 'i — „ JO.... *>•> -May 4 + May 23. Cod-aiortem 12 hours after death. Pigor mortis present. The body is that of an oldish man, poorly nouiished. Chest rigid and barrel shaped. Abdomen retracted. The