Malarial

(mal-a'-re-al). Pertaining to malaria. M. Cachexia, a chronic form of malaria characterized by anemia, general failure of health, a sallow complexion, and enlargement of the spleen. M. Fever, a generic name for a group of diseases a ociated with the presence in the blood of the Polimitus malaria, and characterized by paroxysmal periodicity, enlargement of the spleen and liver. mel anemia, and the presence in the blood, is within the red corpuscles, of parasites (plasmodia) that exert a deleterious influence upon the red cells. The paroxysms may be intermittent, remittent or irregular. If repeated daily the fever is desio quotidian: if on alternate days, tertian; if with an interval of two days, quartan. If two paroxysms occur daily the fever is designated a double quotidian. There may be a double tertian form, a paroxysn curring daily, but only those of alternate days alike; a double quartan form, and others. When tin paroxysms succeed one another so closely that tin stage of one begins before the sweating stage predece or ends, the fever is designated typical malarial paroxysm consists of a cold si hot stage, and a sweating stage, occurring i" sequence given. Intermittent fever is charaei by the occurrence of a complete intermi ion of the symptoms in the interval between two paroxysms, the temperature becoming normal or subnormal. In remittent fever there is only an amelioration of the symptoms in the intervals. Hemorrhagic malarial is a grave form of malarial intoxication in which the height of the paroxysm is characterized by headache, severe pain in the back, nausea, vomiting, decided jaundice, and hemorrhages from various mucous surfaces, particularly from the kidneys. In certain localities in which the malarial organisms are exceedingly numerous or intensely virulent the attack ays a pernicious tendency. Of this type there may be a cerebral form, characterized either by delirium: and excitement, or by coma and depre ion; a thoracic form, in which the respiration is accelerated and there is an urgent sense of the need of air; a gastro-intestinal form, attended with nausea, vomiting, jaundice, and diarrhea; or an asthenic or algid form, in which there is a condition of marked debility and a striking coldne of the surface and of the breath.