The malarial fevers, haemoglobinuric fever and the blood protozoa of man . urecurve of tertian aestivo-autumnal fever, but they do not in the least affect thegeneral character of the curve nor cause a moments doubt as to the nature of acase showing such a temperature curve as is here presented. Such curves areuniquely characteristic of the tertian aestivo-autumnal infections. Case V. Chart 15.—C. C. Age 25. Arrived at Santiago, Cuba, inAugust, 1898. Was there about one month, when he had a sharp chill followedby a high temperature. Chills occurred for a while every other day, but laterbecame i
The malarial fevers, haemoglobinuric fever and the blood protozoa of man . urecurve of tertian aestivo-autumnal fever, but they do not in the least affect thegeneral character of the curve nor cause a moments doubt as to the nature of acase showing such a temperature curve as is here presented. Such curves areuniquely characteristic of the tertian aestivo-autumnal infections. Case V. Chart 15.—C. C. Age 25. Arrived at Santiago, Cuba, inAugust, 1898. Was there about one month, when he had a sharp chill followedby a high temperature. Chills occurred for a while every other day, but laterbecame irregular. They were always followed by a high temperature. Hewas admitted to the hospital there five different times, each apparent recoveryfrom the fever being followed by a relapse as soon as he returned to the paroxysms he suffered from headache, very severe in character;severe muscular pains; nausea and vomiting. He arrived at the SimpsonHospital on December 11, 1898. Had chilly sensations and a headache on the THE AESTIVO-AUTUMNAL MALARIAL FEVERS. 213. < H 214 THE AESTIVO-AUTUMNAL MALARIAL FEVERS. fifteenth, followed by a rise in temperature. He had three slight paroxysmsafterward, accompanied by chilly sensations. Physical Examination.—Patient emaciated and anaemic. Skin yellow,tongue flabby and coated. Heart and lungs normal. Spleen greatly enlarged,reaching nearly to the umbilicus. Liver dullness normal. Bowels tender. Examination of the Blood.—The blood in this case showed pigmentedring-forms of the aestivo-autumnal plasmodium and numerous gametes(crescents). The ring-forms were similar to those described as occurring inCase I. The gametes, both male and female, were very much more slenderand much larger than those of the quotidian aestivo-autumnal plasmodium,and contained a much greater amount of pigment of a more reddish double outline was less commonly observed, but the protoplasm wasmuch more refractive. In this ca
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