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November 29, 1919


JAMA. 1919;73(22):1696-1697. doi:10.1001/jama.1919.26120480001015a

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History.  —A young seaman, aged 26, white, was admitted, August 13, to the wards of Roosevelt Hospital for observation, with the diagnosis of sleeping sickness made by a physician in West Africa. He weighed 140 pounds and was 5 feet 8 inches in height. He was born in Baltimore, but was raised in England. He had been a seaman all his life.The patient complained of extreme weakness amounting to feebleness, constant dull headache, intense itching of the arms and legs, and swelling of both sides of the neck.The family history was negative. The patient had always been healthy until his present illness. Sixteen months before he had gone to Sierra Leone, West Africa, where he worked on a development project for nine months. In January, 1919, after he had been in Africa eight months, he was taken to the company hospital with a high fever, intense headache and

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