admission. On admission spleen and liver very much enlarged. Temperature varied between 100° and 102° daily. Very much wasted, and of sallow appearance. Blood showed no malaria parasites. Differential count was: large mononuclears, 23 per cent.; polymorphonuclears, 49 per cent., and lymphocytes, 28 per cent. The whites were 3700 per c. mm. A liver puncture showed Leishman-Donovan bodies.
In conclusion, we trust that the above cases have abundantly illustrated the importance of blood examination in diseases occurring in the Tropics, and that in the near future far greater importance will be attached to this method of investigation; also that new and improved ways of examining blood may be discovered.
HENRY KIMPTON, 13 Furnival Street, London, E.C.
