Lectures On the Malarial Fevers

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— Albumen is usually present after severe paroxysms. In the regularly intermittent fevers it may amount only to a slight trace, while in severe infections it may be more abundant. The sediment here shows usually a few hyaline or granular casts. In the milder cases these are only to be found after the most prolonged and careful search.
Where the albumen is more abundant they may be fre- quent.
Actual acute nephritis occasionally occurs in connection with or following the malarial infection. Here
... the sediment shows numerous hyaline, granular, and epithelial casts, and in some instances blood.
Malarial fever may be followed by severe chronic nephri- tis ; here the quantity of albumen may be abundant (one half per cent or more), while the sediment may show numerous casts and renal epithelial cells.
* Atti di XI Cong. med. internaz. Roma, 1894, iii, farmacol., 42.
182 LECTURES ON THE MALAIUAL FEVERS.
Ehrlich's diazo reaction is occasionally to be observed; it was found in 5*5 per cent of the cases analyzed by Hewet- son and myself.


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