Page:Transactions of the Royal Society of Tropical Medicine and Hygiene, volume 1.djvu/68



said that, fortunately, he had an opportunity of demonstrating a typical example of the sore, which was variously known by several names, such as Delhi boil, Bouton d'Aleppo, etc. That this was a case of the disease had been proved by the microscope, which showed the characteristic parasite in enormous profusion. The Society was deeply indebted to the patient, himself a medical man, for his complacency and courtesy in having come there at much inconvenience to himself, and not without considerable suffering. He was a medical man, of about forty-one years of age, and had been working in Palestine for a considerable period. In June last he had to go to Baghdad, where he remained for nine months. On his return, and while at sea, some three weeks after he left that city, he saw what he thought was a mosquito bite on the back of his left hand : it was deep red, irritable, and itchy. Similar papules appeared at the same time on the dorsum of his left foot, and on the front of his right shin; they were dry and scaly, and gradually the scurf and scales accumulated, and, mixing with exuding lymph, hardened into crusts. After several weeks the crusts fell off, leaving a superficial ulcerated surface, which had an indurated base and elevated edges. This sore extended until it was 2 in. in diameter, when fungating granulations sprang up almost completely covering the eroded surfaces and preventing healing ; but recently these granulations had be-