Volume 2

Reports of the Sleeping Sickness Commission of the Royal Society.

  • Royal Society (Great Britain). Sleeping Sickness Commission
Date:
1903-19
Catalogue details

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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    September 27. Miicli worse. Piistiing water in bed now. Does uot get u]). Tremor tongue, arms and legs very marked. September 28. Worse. Emaciation progressing rapidly. Oontraeturo of limbs marked, e.i/., legs ou thighs, latter on abdomen. Tremors of tongue and limbs worse, knee reflexes gone. Small bed sore on rg. trochanter, llyporasthesia on being touehed on neck or legs, eries ont. Rapidly getting worse. September 29. Worse. Estremities cold. Shrinks greatly when one makes even a pretence of touching him. Does not respond to questions. Not'aelually sleeping, but approaching coma. October 1. Very ill, still distinctly conscious. Tremors in tongue uot so bad. Contractvire of limbs increasing. Very marked hyperasthesia over points of exit of oth nerve, also shrinks when totiched elsewlieil3. Two small excoriations appeared over front of chest. Passing motions spontaneously. Emaciation marked. October 2. About the same. October 3. 11 A.M. Very bad, eyes closed. Breathing deep and laboured. L.P. done 12 noon. Pressure great, fliiid gushed out. Breathing became ordinary immediately after. 5 p.m. Breathing deep and laboured again, rapid pulse impercept. Died 6 p.m. in a state of semi-coma. Table of Blood Counts. 1902 September 11. R., 2,771,000; W., 9000; Hb., 65 per cent.; P. M. N., 50 per cent. ; L. M., 23 per cent. ; 1., 2D per cent.; T., 5 per cent.; E., 2 per cent. September 28. R., 2,260,000; W., 17,500 ; Hb., 63 per cent. September 29. R., 2,960,000; W., 16,800; Hb., 64 per cent.; P. M. IS., 74 per cent.; L. M., 6 per cent.; 1., 16 per cent.; E., 2 per cent.; T., 2 per cent. September 30. R., 3,300,000 ; W., 16,800; Hb., 65 per cent. October 1. R., 2,500,000 ; W., 18,750; Hb., GO per cent. October 2. R., 2,600,000; W., 12,600 ; Hb., 60 per cent. October 3. R., 3,400,000 ; W., 19,300 ; Hb., 65 per cent. Post Mortem, October 4. 6 a.m. ^xt. Appearances.—Body much emaciated. Bed sore on rg. trochanter. Two excoriations, one over sternum, and one to the left. Old scar rg. side of neck over sterno mastoid. Skin a little rough, no eruptions or old scratch marks. Chest.—No pericardial fluid. Heart.—R. ventricle dilated, left ordinary. Muscular substance pale, slightlv degenerated. Valves competent. Aorta healthy. Rg. anricle full of ante mortem clot extending into rg. ventricle. Licm/s.—No fluid in plexira. B. Pale, almost white colour. GCdema and some congestion at base of lower lobe. L. Pale and bloodless, crepitant, some oedema of lower lobe, no congestion or pneumonia. Abdofnen.—Exam, of fa3ces, before death, Bilharzia anH other ova. No I eritoneal fluid or adhesions. Liver. Enlarged, pigmented old malaria. Spleen. Knlarged, not markedly so. Capsule slate-coloured. Section reddish-brown. Old ii'alaria. Kidneys.—R. Very pale, capsule strips readily. Superficial capillaries infected, as also those in interior. No inflam. .changes. L. Ditto to right. Pancreas.—Nil. Intestines.—Normal. Intestinal parasites. Ankylostoma, plenty, in duodenum
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