Volume 2
Reports of the Sleeping Sickness Commission of the Royal Society.
- Royal Society (Great Britain). Sleeping Sickness Commission
- Date:
- 1903-19
Licence: Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)
Credit: Reports of the Sleeping Sickness Commission of the Royal Society. Source: Wellcome Collection.
Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.
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![JVecA'.—Nil. LijDiph. <S'//.v/pjH.—Eiilurgcd in all areas, ] ca t;> Irazil lu.t, four jjostorior abdom. •ones as largo as walnuts, very hard. i/et/f?. —Calvariuni nob thickened. Dura. Some congested vessels on upper jispect. No excess sub-dural iiuid and no adhesions. Jr'ia arachnoid clear; no ■excess of fluid. Veins over vertex congested. Very little macroscopic change; •other parts of brain no change noticeable ; cord not taken out. Lat. ventricles not dilated, contained a little liuid. ILisLological Examinalion.—Spleen and liver much malarial pigment. Brain presented same appearance as former cases. Meningeal exudation, and also peri- vascular infiltration in substance, latter not very marked. Case 5.—Yaro. M., 35. Ad. Jiily 18, 1902. Dis. September 4, 1902. Died. I'.M. Nalive of Buse, Uganda : — Fam. Ilisf.— 'F., d. ? M., d. ? B., L, 40. S. 1,1. h., ch. 0. Per*. Hist.—A labourer, brought in, said to be Buffering from Sleeping iSicknesiS. State on Adimsi.— Ueavy, stupid, unintelligent man, speech slow and thick. Some emaciation, skin dry and hai'sh, covered with old scabs and sores, pruritus ; scratching hiniselF. Enlarged glands, triangles of neck, sub. max., sub-mental, also groins and axilla;. Tremor fine in tong^^e, also slight in hands, not in legs. T. 99, P. 88, R. 16. Walk typical slow, and pushes feet along ground rather than raising them. Circ. i^yst.—P. 100, reg. eq., vol. very small, tens, low, V. W. imtliickened. H. , u. b., 3rd r., r. b., 1 inch to rg., m. 1., 1. b. 4 inches to If., m. 1., a. b., 5th, s. p. 3J inches IF. of m. 1. Aus. Sounds faint, espec. at base, no murmurs. Uesp. Syst.—E. 16, reg. eq., thor. abdom. Insp. nil. Palp, reson. Note all •over. Ausc. Vesicular ordinary. Aliment. Syst.—Tongue small, pointed, lips not thick, fur on dorsum. Appetite good. Bowels constip. Abd. nil on insp. Liver, \i. b., r. cl., 6th r., a. d., 7th r., I. b. c. m. Spleen, u. b., 8 r., 1. b., 12th r. Ant. mam. liue, enlarged. Urinary Syst.—Sp. gr. 1018, no alb., blood, or sugar. Straw-coloured. Slight deposit of mucus. Skin.—Eoiigh, dry, Larsh, old scratch marks. Covered with old dried-up pustular scabs all over body. Always scratching himself. Lymphatic Syst.—Glands enlarged generally. Nerv. System.—Heavy, dull, stupid, slow speech, imperfect articidations. No delirium or n.arked tendency to sleep, hut drowsy and stupid. Cranial nerves, no paralysis evident. Motor Hunciions.—Muscular nutrition poor, though no marked emaciation. Grip feeble for a man of his age and development. No paralysis. Incoordination impaired distinctly. Romberg's sign present. Other coordinated movements impaired also. Pino tremor tongiie and arir.s, none in legs. No rigidity or contraction. Rejlex Functions.—Knee reflexes present. Moi e marked left than right. No ankle clonus. Superficial present, slight. Sensory Ftinctions.—Pain, touch, and temp, present; no hyperasthcsia. Special Senses.—'Eyes, pupils equal, mod. dd., react, to light and accom. No nystagmus. No ocular paral^ sis. Further Notes.—August 14, 1902. About the same, pulse increased in frequency, 120, very small vol. and low tension. Sounds very faint, tremors about the same. August 2'k In the last few days patient lias got much worse, mucli wasted, extreme weakness, bedridden.](https://iiif.wellcomecollection.org/image/b24750530_0002_0056.jp2/full/800%2C/0/default.jpg)
