Medical and surgical reports . a malaria. The evidence of primarymalarial infection while in Cuba is as strong as it can bewithout microscopic demonstration, but the malaria wasgenerally in abeyance during the progress of the typhoid, thelatter disease running its course in some cases typically, inothers more or less atypically. But in cases IV. and VIII.,as well as in I., the malarial organisms were present duringthe typhoid, so that the two diseases coexisted. In theother cases one infection took the right of way over theother for the time. Case II.—¥. L. W., aged 19, 2d Mass, Vols. (Med. Ke
Medical and surgical reports . a malaria. The evidence of primarymalarial infection while in Cuba is as strong as it can bewithout microscopic demonstration, but the malaria wasgenerally in abeyance during the progress of the typhoid, thelatter disease running its course in some cases typically, inothers more or less atypically. But in cases IV. and VIII.,as well as in I., the malarial organisms were present duringthe typhoid, so that the two diseases coexisted. In theother cases one infection took the right of way over theother for the time. Case II.—¥. L. W., aged 19, 2d Mass, Vols. (Med. Kecords,vol. C. 133, p. 134.) Entered hospital August 30. Had been iu bed five weeks in Santiago. Chills and tympanitic, not tender, except over enlarged spleen. Korose spots. Four searches were made for plasmodia, always with negativeresult. On September 5 Widal reaction positive. Temperature sub-sided by lysis, reaching normal on September 15. No subsequentrise ; no chills at any time while in the CHART 2. Case HI.—J. J. S., aged 23, 9th Mass. Vols. (Med. Records,vol. C. 135, p. 126.) Entered hospital October 2. Distinct history COINCIDENT MALARIA. 185 of malaria around Santiago Avith diarrhea. Latter checked some-what while on transport for Montauk. Then sick with fever,sweating, dysentery. Transported thence to New York Hospital,thence to Boston. Dejections fifteen daily. No chills now, butsweating. Rose spots. Repeated searches for plasmodia and foramebee, negative. Positive Widal reaction, October 3. Deliriumintense. Died October 14. oSTo autopsy. The chart is so irregular that it is reproduced it represents some modifying influence of the twoinfections upon each other. (Chart II.) Case IV. —W. P. D., aged 31, 9th Mass. Vols. (Med. Records,C. 133, p. 218.) Entered hospital September 6. Had fever, withone or two indefinite chilly sensations in Cuba. None since. Overcome by heat at Montauk, and fell down. Spleen markedly3nl
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