This case of kala-azar is reported because of the infrequent occurrence of this disease in the United States.
C. Y., a Chinese student aged 29, entered the United States from China Sept. 3, 1935. Prior to that time he had been engaged as a teacher and research worker in parasitology and entomology. He came to this country for graduate study at the University of Minnesota. His general health had always been good with the exception of several attacks of malaria.
On admission to the Students' Health Service the patient stated that about Dec. 15, 1935, he began to notice increased fatigue on moderate exertion, loss of appetite and slight dizziness. These symptoms increased in severity until December 21, when he was confined to bed, where he remained until the date of admission, Jan. 7, 1936. During this interval "chilly sensations and fever, nosebleeds, bleeding gums and loss of hair" were
Mathieson DR, Watson BA. KALA-AZAR. JAMA. 1939;112(4):308–309. doi:10.1001/jama.1939.62800040001008
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