File:The malarial fevers, haemoglobinuric fever and the blood protozoa of man (1909) (14754045216).jpg

Identifier: malarialfeversha1909crai (find matches)
Title: The malarial fevers, haemoglobinuric fever and the blood protozoa of man
Year: 1909 (1900s)
Authors: Craig, Charles Franklin, 1872-1950
Subjects: Malaria Blackwater fever Blood Malaria Blackwater Fever
Publisher: New York : William Wood and Co.
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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ng the defervescence of the fever in typhoidthe temperature may become intermittent, the curve resembling that of adouble tertian or quotidian aestivo-autumnal infection. (Chart No. 19.)Chills may also occur at this time, during the onset, or at any time during thecourse of the disease; thus further increasing the resemblance to malaria, and insuch cases a diagnosis is often made of typho-malarial fever. Any diagnosisof malarial fever under such circumstances is utterly worthless unless confirmedby a blood examination. With the Widal test, and the improved methods wepossess of staining the malarial plasmodia it is inexcusable to-day to fail indifferentiating the malarial fevers from typhoid fever. Yellow Fever.—In regions in which both malaria and yellow fever areendemic the differentiation of these diseases is often exceedingly difficult with-out a blood examination, and pernicious cases of aestivo-autumnal fever are not 334 DIAGNOSIS, PROPHYLAXIS, AND TREATMENT OF MALARIAL FEVERS.
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DIAGNOSIS, PROPHYLAXIS, AND TREATMENT OF MALARIAL FEVERS. 335 infrequently mistaken for yellow fever. This is especially true of the so-calledbilious remittent and haemorrhagic forms of pernicious malaria, in which theyellow tint of the skin, the congested eyes, the flushed cheeks, the severe vomit-ing, often of black fluid resembling the dreaded black vomit, the high tem-perature, and the not infrequent occurrence of albumin in the urine, form aclinical picture closely resembling that of yellow fever. A patient presentingsuch a picture in a yellow fever region is almost always thought to be sufferingfrom that disease, and in such cases the examination of the blood is of the verygreatest importance. Kala-Azar.—The differentiation of kala-azar and the malarial fevers isof interest and importance, as kala-azar was for years considered a chronicform ,of malarial infection, and only with the discovery of the Leishmania-donavani was the distinction recognized and the differentiation of t

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