"Leishmania Donovani" in the Soudan.
"Leishmania Donovani" in the Soudan.
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DOI：
10.1136/bmj.1.2265.1252
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发表时间：
1904-01-01
影响因子：
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通讯作者：
Neave, S
中科院分区：
文献类型：
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作者：
Neave, S
我相信，我在恩图曼民事医院发现的多诺瓦尼莱什扎虫病例是除去年 11 月 3 日发生在突尼斯并由 M. Laveran 报告的病例之外，在非洲发现的第一例病例。此案由 JB Christopheraon 博士负责，经过他的许可，我才发布此帐户。 3 月 8 日，我给 H.B.做了检查，他是一个大约 8、9 岁的男孩，为了方便起见，他刚刚从喀土穆的医院转移出来。他来自加扎勒河上游约 8oo 英里的加扎勒河地区的梅沙拉克 (Meshareck)，接受慢性腹泻治疗，现已康复，但体温每天都在升高，通常会恢复正常，并且通常在夜间升至 1010 度。这种情况一直持续到撰写本文时。他非常消瘦，脾脏增大到肚脐的高度，但在肚脐的左侧。腋窝和腹股沟的腺体也增大。除上述情况外，没有任何异常体征或症状；他抱怨没有疼痛，并表示对自己的命运很满意。血液检查显示，脾脏和外周血中均未发现疟疾寄生虫，但前者充满了杜氏利什曼原虫。当时我不幸损坏了血细胞计数仪，不得不将血细胞计数推迟到四月份，当时的结果如下： 红细胞
THic following instance of Leishnzania donovani found by me at the Omdurman Civil Hospital is, I believe, the first case found in Africa except that occurring in Tunis on November 3rd last, and reported by M. Laveran. The case was under the control of Dr. JB Christopheraon, and it is by his kind permission that I publish this account. On March igth I examined H. B., a boy aged about 8 or 9 years, who had just been moved from the hospital at Khartoum as a matter of convenience. He had come from Mesharareck in the Bahr-el-Gazal, some 8oo miles up the river, to be treated for chronic diarrhoea, and had recovered from this, but had a daily rise of temperature, usually remitting to normal, and commonly rising to I010 at night. This has continued till the time of writing. He was very emaciated, and his spleeui was enlarged downto the level of the navel, but well to the left of it. The glands in both axillae and groins were also enlarged. Subject to the above, there were no abnormal signs or symptoms; he complained of no pain, and expressed himself contented with his lot. Examination of the blood showed no malarial parasite either in the splenic or peripheral blood, but the former was full of Leishmania donovani. At the time I had unfortunately broken my haemocytometer, and had to put offa corpuscle count until April gth, when the following was the result: Erythrocytes