On Dec. 7, 1905, while examining smears from the lungs, spleen and bone marrow in a case that appeared to be miliary tuberculosis of the lungs, I found enormous numbers of small bodies generally oval or round. Most of them were intracellular in alveolar epithelial cells, while others appeared to be free in the plasma of the spleen and rib marrow. Tubercle bacilli were absent. The following is an account of the case:
—C. D., negro from Martinique, aged 27, occupation carpenter; address, Paraiso, a village in the Canal Zone.
—The patient had been a resident of the zone three months. While in Martinique he had suffered from some mental disturbance. His present illness dates from Sept. 15, 1905, when he complained of fever and vomiting.
Condition on Admission to Hospital.
—On entering Ancon Hospital Dec. 5, 1905, he was mildly delirious and incoherent. Lungs were clear; abdomen
DARLING ST. A PROTOZOÖN GENERAL INFECTION PRODUCING PSEUDOTUBERCLES IN THE LUNGS AND FOCAL NECROSES IN THE LIVER, SPLEEN AND LYMPHNODES.. JAMA. 1906;XLVI(17):1283-1285. doi:10.1001/jama.1906.62510440037003