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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![Table of Blood Examinations and Counts. 1902. August 12. ]!^o malarial parasites. August 19. E., -l-,320,000 ; W., 8400; Hb., 60 por cent.; P. M. N., 62 per eent.; L. M., 14 per eont. ; 1., 16 por cent. ; E., 8 per cent.; T., 0 per ceut. No maliirial parasites or pigmented leucocytes. September 18. E., 4,480,000; W., 7003; Hh., 70 per cent. Cask 10.—Basibi. M., 33. Ad. August 13, 1902. Lcl't liospital August 25, 1902. JfatiTe of Laji. Sesse group :— Fam. Hiftt.—F. d. stomacli. M. 1. h. B. 2 1. h. 1 died si. sickness. S. 1., swolleu arms and legs. Ch. O. Pers. Hist.—Labourer. No prev. illness. State on Ad.—Brought in by chief. 20 days ago was noticed to walk peculiarly and would not work as usvial, repiited to be drowsy. Heavy, dull, apathetic look- ing man. Drowsy appearance. Large heavy flabby underlip, tongue very marked tremor. Fine tremor in hands. T., 101. P., 95. E., 20. No emaciation; strong ljuilt man ; protuberant abdomen ; glands nil in triangles, slight under left jaw. Marked in groins, also in femoral group, on left side one soft and rather boggy. Skin harsh and dry. No pruritus or eruptions. Soft sores on foreskin of penis. Circ. System.—P., 95. Eeg. eqi^al. Yol. mod. tens., si. increase. V. W. thickened. Heart.—Epigast. pulse. A. b. not j^alp., u. b. 3rd r. E. B. 1^ inclies r. m. 1., 1. b. at 4th rib, 4 inches to 1. of m. 1. Axis. First redup. 2nd ordinary. Slightly faint at base. Rexp. System.—E. 20, eqtial, rog. Y. F. not impaired. Note resonant all oyer. Sounds. Yesicidar all over. No prolongation of expiration. Aliment. Syst.—Tongue large, soft, and flabby; dirty white fur; lower lip hanging and flabby. Abd. protuberant. Bowels constip. Liver u. b. 6tlx and 7th, 1. b. 5 inch below c. m. Spleen, u. b. 7th, 1. b. 11th ant. not enlarged. Urinary System.—Sp. gr. 1026 ; no alb., blood, or sugar. No deposit. Skin.—Harsh and dry ; a few old spots on back. Lymphatic Sy.it.—As in state on admission. Nervous Sy.-stem.—Distinctly drowsy, stupid heavy appearance. No cranial nerve paralysis. Motor Functions.—Leg muscles somewhat flabby, not wasted. Incoordination nil. Fine tremor in hands ; slight tremor in tongue. Sens. Functions.—Pain, teni. sense and sensation ordinary. Hejlexes.—Superficial present diminished ; knee reflexes absent; no ankle clonus. Walk slow, but not typical. Special Senses.—Eye, no ocular paralysis. No nystagmus. Pupils equal, some- what contracted, react slight to accommodation, not to light, very sluggish. Smell ixnimpaii'cd. Further Notes.—August 14. Soft sores on penis, no bubo. August 20. No change. August 23. Patient has lost flesh; not much drowsiness. Tremor of tongue inci'eased. August 25. Patient left hospital without permission, and disappeared. The case is interesting on account of the eye symptoms.](https://iiif.wellcomecollection.org/image/b24750530_0002_0065.jp2/full/800%2C/0/default.jpg)
