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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![2'horax.—Eolations of organs iiiiiiiriil. Pericardium appears nor:r.!il, a von,- small amount, of clear (luid. Heart not enlarged. Flabby, much fat. Valves competent. Nothing to be noted in tlie aorta. Lungn normal, no ])leiiral effusion. Abdomen.—Eolation of organs natural. No peritoneal cffutioii, mesenteric glands enlarged. Licer, not enlarged, normal. Spleen, sliglitly onl.irged, enpniile slate- coloured on section, very dark pigment. Kidneys, ni], I'ancreax, ni\. BladJer, nil. Intestines, largo intestine full of hard fa?ccs. Parasites, many anlijl., few ast-. lumbr., no trio, dispar. Brain.—Calvarium dense and hard, symmetri al. Dura nniter not jidhercnt, vessels very congested. Longitudinal sinus full of coagula. Pia arachnoid over the convexitic? opaque, can be stripped -without erosions, no flatteiiin<T or wasting of couTolutions, cerebro-spinal liquid a little turbid and in excci<.s. On section tissue of brain from rentricles not dilated. Pit. body normal. Cerebellum, pons, medulla appear normal. Cord looks healthy macroscopicallv. Histolof/ical ISxamination.—Braiu. Picture of usiuil Sleeping Sickness, meningo encephalitis. Infiltration of small cells under pia, mononuclear lymphocytes spreading down the sulci. Vessels in substance of brain packed round ■nit^ a layer of mononuclear leucocytffs. No other changes visible. Similar changes in pons, medulla, and cord. Case 7.—Msavikn (No. 1). F. 12. Ad. July 31, 1902. Dis. September 16,1902. Died. F.M. Native of Buse, Uganda :— Faml. Hist.—Unobtainable. Slate on Adm.—Peculiar-looking child. Standing, fine tremor seen. Left foi-e- aim flexed at elbow and held with extensor surf, uppermost, drop wrist. Other arm normal as to position, fine tremor in both. Walks peculiarly, dragging limbs, also walks with toes cf left foot in air. This foot badly infected with jiggers, probably explains position. Tongiio, fine tremor. History of headache, but none now. Enlarged glands iu post, triangle of neck and under jaws, also inguinal glands shotty in consistence. Skin smooth, no pruritus or eruption of auv kind. Passes motions normally. Some rigidity of neck, especially on left side. Circ. System.—98. Eeg. equal. Vol. small, tens, low, V. W. nil. A. B. 6ili sp. 3J inches from m. 1., u. b. 3rd rib, 1. b. 4 inches from m. 1., r. b. 1 inch to rg. m. 1. Ausc. Sounds distinct, no murmurs. Resp. System.—E. 16. Eeg. equal. Aits. Vesiculai, note reson. all over. Alim. System.—Insp. nil. Liver u. b., r. d. 5th, a. d. 6tli, 1. b., c. m. Spleen. u. b. 7th, 1. b. 12th r. Bowels constip., motions passed normally. Urinary Syst.—Quant. ? Dep. muc., sp. gr. 1024. No alb., blood, or sugar. Nervous Syst.—Rather frightened-looking child. No drowsiness or mnrked slee]> tendency. No coma or delirium. Speech unaffected. Cran/ai//erce*, no paralysis evident. Motor Functions, marked wasting and feebleness of leg miiscles and arm. Grip feeble. Fine tremor tongue, arms and legs. Left arm held in peculiar position, flexed at elbow and wrist hangs. Cau be straightened, but some difliculty (contracture). No incoordination. Sensory Fund.—Unimpaired generally. Some hyperiesthesia locally ia legs aacl anns. No pains in head. Pain complained of in rg. side over kidney. Eejlexes.—Superficial slightly diminished, knee present ordinary, rg. increased left. No ankle clonus. Organic nil. Special t'enses.—Eye, no ocular paralysis. Pupils equal contiaet to light and accommodation. No nystagmus. SHn.—No eruptions or pruritus, skin smooth and glossy. Lymphatic Sysl.—Enlarged glands, neck shotty in ant. and post, tiianglos. Sub- mental, groins also.](https://iiif.wellcomecollection.org/image/b24750530_0002_0060.jp2/full/800%2C/0/default.jpg)
