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To the Editor:
—The Journal, August 12, contained an editorial on "Infantile Splenic Anemia and Kala-Azar" which is of considerable interest to me as I live in a district where leishmaniosis is common, though the positive diagnosis made by finding the parasite is comparatively recent. I am writing you because your suggestion that cases may possibly occur in America among immigrants is entirely reasonable, and our experiences may be of some use to men who are on the lookout for it.The microscopic diagnosis is much more troublesome than that of malaria because the parasite is not always found in the circulating blood or, if it should be present, it is in such scanty numbers that the search is exceedingly tedious and it is practically useless to depend on it as a means of diagnosis. It is much more easily found in the smears made from splenic is practically
Cochran S. Leishmaniosis in China. JAMA. 1911;LVII(20):1630–1631. doi:10.1001/jama.1911.04260110130027
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