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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![Case 11.—Busoki. M. 40. Atl. August 1, 1002. Di.«. Srptcmbcr 5, 1902. Died. Native of Euwayiv, Uganda:— Fam. Hist—F. d.fevci-, M. d. stomach, B. ]. 1. ii., s. 1. 1. li. Cli. O. Pers. Hi'sl.—Labourer. S/afe on Admission.—Coin para tively intelligent looking, not stupid. Not drowsy, no marked tendency to sleep. Not emaciated. Enlarged glands generally small only in neck. Walk typical, does not raise foot, pushes it, shuffling gait. Speech not slow, answers questions qiiickly. Fine tremor tongue, none in arms. Skin, soft, smooth, no jDruritus or eruptions. Circ. Si/sf.—P. 90. Keg. eq. Vol. small, tens, slight increase. V.W. slightly thickened. Heart.—A. B. 5th sp., Z\ inches from m. 1., u. b. 3rd r., 1. h. 4 inches from m. 1., r. b. 1 inch to r. m. 1., ausc. redup. first sound, second ordin., no nmrmers. Respir. Si/sf.—E. 16 equal, reg. cost, abdomen, note resonant all over, breathing ordin., vesic, no prolong, expiration No cough. Alim. Si/sf.—Tongue, medium size. Some bluish-black pigmented spots on dorsum and freniun. No fur. Abd. nil iiispec. Liver, u. b. r. d. 5tb, a. d. 6th, 1. b. c. m. not paljD. Spleen, u. b. 8th, 1. b. ]2tli, ant. at mam. line, not palpable. Stomnch not enlarged. Bowels constipated. Faeces. Many bilbarzia ova. Urinari/ System.—Sp. gr. 1020. Slight deposit of mucus. No alb., bl., or siigar. Lymjih. Si/st.—Chain of small glands in post, triangles, none in groins or sub- mental, some on sub-max. group. Inteff. Sy.item.—Some dryness of skin, arms and legs and'some pruritus in latter. Skin of trimk, smooth. Nerv. System.—Not stupid, fairly intelligent. No cranial nerve paralysis. Motor Functions.— Consistence of muscles diminished. No paralysis or wasting. No incoordination. No R.'s symptom. Grip and muscular power good. Fine tremor, very slight only in tongue. Rejlex Functions.—Superfic., present, slight, knee exagg., rg. ordinary, no clonus, organic normal. Sens. Functions.—Touch, temp, and pain sense unimpaired, no hypera!sthesia or pain over ti-igem. points. Sjyecial Sen.ies.—No ocular paralysis. No nystagmus. Pupils eq., somewhat contracted, react perfectly to light and accom. Further Notes.—August 14. About the same, little change. August 27. Jn the last few days an almost sudden change. Extreme -weakness, patient is not able to get up from bed, much wasted. Temperature very low, pulse almost imperceptible. August 29. No change. September 2. Drowsiness much increased, pulse -imperceptible, cold extremities. September 3. On the point of death, absolutely comatose, only sign of life a slight conj. reflex, temp, sub-normal. Very cold and clammy. No contraction muscles of neck. Saliva dribbling from mouth. Motions passed in bed. No pruritus or eruptions. Skin of trunk still smooth. Reflexes leg gone. September 4. Jn a moribund condition. September 5. Died at 5 A.M. in a state of unconsciousness. No fits, temp, sub-normal. Table of Blood Counts. 1902. August 14. E., 4,400,000 ; W., 5600 ; Hb., 85 per cent. September 4. R., 5,Ci80,0C0; W., 9500 ; Hb., 92 per cent.](https://iiif.wellcomecollection.org/image/b24750530_0002_0066.jp2/full/800%2C/0/default.jpg)
