Reports of the trypanosomiasis expedition to the Congo, 1903-1904, of the Liverpool School of Tropical Medicine and Medical Parasitology / by J. Everett Dutton, John L. Todd and Cuthbert Christy / with a comparison of the trypanosomes of Uganda and the Congo Free State / by H. Wolferstan Thomas and Stanley F. Linton.

  • Dutton, Joseph Everett, 1876-1905.
Date:
1904
Catalogue details

Licence: Public Domain Mark

Credit: Reports of the trypanosomiasis expedition to the Congo, 1903-1904, of the Liverpool School of Tropical Medicine and Medical Parasitology / by J. Everett Dutton, John L. Todd and Cuthbert Christy / with a comparison of the trypanosomes of Uganda and the Congo Free State / by H. Wolferstan Thomas and Stanley F. Linton. Source: Wellcome Collection.

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    Pancreas and suprarenals normal. , Intestines contained very many ascaris, anchylostomes, and a few T7ichocephalus dispar. Bladder showed two submucous haemorrhagic areas near meatus. Genitals normal. Lymphatic glands ; Generally enlarged and watery, especially the abdominal groups, some of the latter were deeply congested ; one gland lying on the anterior surface of the pericardium had a distinctly haemorrhagic centre. Brain : Slight congestion of superficial vessels and flattening of convolutions ; sub-arachnoid fluid in excess, ‘ ground-glass appearance’ of arachnoid. Cord: vessels congested, great increase in cerebro- spinal fluid. None of cranial bone cells were abnormal. Living trypanosomes were seen in preparations made post-mortem from finger blood and pericardial fluid, but not in heart blood. Case 84. Moidi. Female. Age twenty-four. History.—Is a Kasai woman. Has been living for past two months near Lec- poldville. Was sent to hospital, January 12, as a case of sleeping sickness. January 21. Patient is a big well-made woman, no emaciation, her expression is dull, pained, and stupid, almost vacant. She is continually making grimaces. She cannot walk and lurches forward in a half drowsy condition during examination. Speech is thick and slow. Oedema of shins and feet, face and lips puffy. Indeed, the whole body is more or less puffy and presents an appearance of plumpness. Skin dry and dirty. There isa very extensive cicatrix, from a burn, implicating the right arm, side, and thigh. Lymphatic glands not enlarged. Circulatory and respiratory systems normal. Alimentary system, tongue coated and moist ; teeth and gums foul. Tip of tongue only, after much persuasion, protruded. Liver normal. Spleen slightly enlarged. January 25. Patient usually sits dozing over a small fire. She is. occasionally found lying at full length, naked, on the floor, or asleep in an uncomfortable attitude on the board bed. She can be easily aroused by a touch, and can, by shouting, be persuaded to speak. February 5. Patient is almost lethargic, and is aroused only with some difficulty. She now eats nothing and is becoming emaciated. Sensation is dulled ; hardly flinched during lumbar puncture. February 6. Died early this morning. Necropsy six hours after death. ‘The body of a massive but wasted woman. Rigor mortis present in masseters and extremities. Panniculus in fair amount. Abdomen normal. Diaphragm: Right side, upper border fourth rib ; left side, fifth rib. Thorax : Pleurae normal. Pericardium contained a small amount of yellowish fluid. Heart: Weight, 342 grammes ; contained firm white agonal clots. Lungs : Weight, right, 454 grammes ; left, 335 grammes ; slight bronchitis and hypostatic congestion. - Liver: Weight, 1,591 grammes ; light in colour, central Jobular congestion, soft and friable. Gall bladder full of dark, thick bile. Ducts patent.