L.JI! IA\ .! iir011ie Malaria.
I 1‘. lit r. liowL vLr, describe • • kidiar occasionally met - In thy,. condition: the cong,ested At, 1 t atrophic form. The hist° . a; clangLs charactLrizing these con s s liardlv called for in the scope • Fa:Litt article.
Diaguosis.—The diagnosis of malarial r, mainly depends upon the result of t'iL xamination of the blood, and the L.,. rt. 0...ubtful the ease, the more it re -.Ls st,ine other affection, the more cL,-arv is a resort to this means of .tta.ning a positive conclusion. To a liss cligrce the diagnosis is established by tbe results of the therapeutic test: i.e., the administration of quinine and the c:nieal manifestations.
In many eascs the symptom-grouping, the rigularly-recurring paroxysms, and ti.e crderlv sequence with which the viirr us stages succeed one another may le quite sufficiently characteristic to varrant the diagnosis of malaria. This Tart'eularly true if the case be one of tertian, single quartan, or double ,,,t1.1.rtan infection. for no disease through .ny e:.n.iderable period of time will pre ,. nz -uch regularity in the recurrence of fibrile paroxysms. There are many ..:ons frequently encountered, how 4-; ,r, whi-h rfrer some difficulty in dif ` r. r;i.z;ng from malarial fever of quo
-:.1 • n ••.• whethPr due to double ter .n r r tr.:;P quartan infection.
l't-L•foN.kity ruriEnct-Losts—from its wi•IP prevalr floe and the fact that it is fre at'endPd by daily febrile parox yr--rns consis.ting of more or less well-de fined stages r•f chill, fever, and sweating rrobahly more commonly mistaken for malaria. in regions where the latter affection prevails, than any other disease. only ignorance or carelessness, on the part of the physician, however, can re sult in confusing the two maladies. In tuberculosis the alisenee of splenic enlargement, the anientia lacking the peculiar sallowness of malaria; the oc currence of the febrile paroxysm in the later hours of the afternoon instead of the forenoon, except when the inverse type of fever prevails; the result of the physical examination of the lungs, the presence of tubercle bacilli in the spu tum, and the result of the blood-ex amination constitute a group of events which, when properly interpreted, pre clude the possibility of confusion be tween these two diseases.