The malarial fevers, haemoglobinuric fever and the blood protozoa of man . d malarialelements is not based on sufficient evidence, and with this statement I am fullyin accord. The prognosis in cases of coincident typhoid and malarial infection isalways grave and it is the concensus of opinion of all who have observed suchcases that during the malarial paroxysms the patient appears to lose groundrapidly, and that the occurrence of malarial infection during an attack oftyphoid appears to increase the severity of the symptoms of that disease. The recognition of these cases is of great importance,
The malarial fevers, haemoglobinuric fever and the blood protozoa of man . d malarialelements is not based on sufficient evidence, and with this statement I am fullyin accord. The prognosis in cases of coincident typhoid and malarial infection isalways grave and it is the concensus of opinion of all who have observed suchcases that during the malarial paroxysms the patient appears to lose groundrapidly, and that the occurrence of malarial infection during an attack oftyphoid appears to increase the severity of the symptoms of that disease. The recognition of these cases is of great importance, especially in regionsin which the aestivo-autumnal fevers are prevalent, but it should be remem-bered that such recognition is only possible by the use of the microscope, andquinine should never be administered to a patient suffering from typhoid fever,presenting atypical symptoms, unless the malarial plasmodia can be demon-strated in the blood, for while the administration of this drug is always beneficial 294 SEQUELAE, COMPLICATIONS, AND PROGNOSIS OF MALARIAL SEQUELAE, COMPLICATIONS, AND PROGNOSIS OF MALARIAL FEVERS. 295
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