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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hart of which is here reproduced. (Chart No. 21.)Examination of the heart will generally suffice to determine the nature of suchcases, and if not, an examination of the blood will generally settle the questionat once. Dysentery.—As has been shown, malarial infection may occur withdysentery, and the removal of the malarial element in a large proportion of suchcases results in a rapid improvement in the dysenteric symptoms and their finaldisappearance. In view of this fact, i.e., that malarial infection is capable ofproducing the clinical symptoms of dysentery, it is important that we be able todifferentiate between these cases and true cases of dysentery, either amoebicor specific. The examination of the blood and of the faeces should quickly enableus to differentiate dysentery and the malarial fevers, and such an examinationis most useful also in that it will often result in demonstrating a combination ofthe two diseases. 338 DIAGNOSIS, PROPHYLAXIS, AND TREATMENT OF MALARIAL FEVERS.
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DIAGNOSIS, PROPHYLAXIS, AND TREATMENT OF MALARIAL FEVERS. 339 Cerebral Apoplexy.—The differential diagnosis between cerebral apoplexyand some forms of pernicious malaria, such as the comatose form, is oftenextremely difficult without a blood examination. Cerebral pernicious malariais often manifested by coma, stertorous breathing, loss of reflexes, and othersymptoms which so closely simulate apoplexy that a clinical diagnosis is almostimpossible. The main clinical points to be relied upon in differentiating thetwo are the high fever in malaria, although this is not constant; the age of thepatient, and the presence of splenic enlargement if the cause be malarial. Anexamination of the blood should be made at once in all cases of sudden loss ofconsciousness in malarial regions. Sunstroke.—In tropical or subtropical regions certain cases of perniciousmalaria very closely simulate sunstroke. I have already described such casesand have spoken of the fact that heat very often aggravates

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