TRANSCRIBER’S NOTE

The cover image was created by the transcriberand is placed in the public domain.

Some minor changes to the text are noted at the end of the book.


THE DIAGNOSTICS
AND
TREATMENT OF TROPICAL DISEASES

BY

E. R. STITT, A. B., Ph. G., M. D., Sc. D., LL. D.

REAR ADMIRAL, MEDICAL CORPS, AND SURGEON GENERAL, U. S. NAVY, GRADUATE, LONDON
SCHOOL OF TROPICAL MEDICINE; MEMBER NATIONAL BOARD OF MEDICAL EXAMINERS; MEMBER
ADVISORY BOARD, HYGIENIC LABORATORY. FORMERLY: COMMANDING OFFICER AND HEAD
OF DEPARTMENT OF TROPICAL MEDICINE, U. S. NAVAL MEDICAL SCHOOL; PROFESSOR
OF TROPICAL MEDICINE, GEORGETOWN UNIVERSITY, PROFESSOR OF TROPICAL
MEDICINE, GEORGE WASHINGTON UNIVERSITY; LECTURER IN TROPICAL MEDICINE,
JEFFERSON MEDICAL COLLEGE; ASSOCIATE PROFESSOR OF MEDICAL
ZOOLOGY, UNIVERSITY OF THE PHILIPPINES

FOURTH EDITION—REVISED

WITH 159 ILLUSTRATIONS

LONDON

H. K. LEWIS AND CO., LTD.

1922


Copyright, 1922, by P. Blakiston’s Son & Co

PRINTED IN U. S. A.
BY THE MAPLE PRESS YORK PA


[Pg v]

PREFACE TO FOURTH EDITION


In this revision it has seemed desirable to adhere to the original planof the manual as such an arrangement of the contents gives to thestudent or tropical practitioner a concise and readily accessible presentationof the subject.

Accepting the spirochaetal etiology of yellow fever, as worked outby Noguchi, I have transferred the chapter on this disease to the sectiondealing with protozoal diseases and have endeavored to present themore important features of the recent extensive additions to our knowledgeconcerning this scourge of the tropics.

There is not a chapter in the book that has not been carefully revisedand brought up to date. Of the revisions made, the most importantdeal with advances in the study of food deficiency diseases, as will benoted under beriberi and pellagra.

I have enlarged various paragraphs on treatment, the additions includingdescriptions of the treatment of hookworm disease by carbontetrachloride and of the methods of administering arsphenamine andantimony.

Six new chapters have been added to the book, viz. Epidemic jaundice,rat bite fever, tularaemia, tables of helminthic and arthropodandiseases, trench fever, in Part I, and, in Part II, a chapter on the diagnosticsof tropical joint, muscle and bone lesions.

Extensive additions have been made to Chapter XLIII, “Diagnosticproblems and procedures, together with cosmopolitan diseases in thetropics”; and in the chapter on blood examinations will be found apresentation of our latest views as to acidosis as well as a ta

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