Studies in leishmaniasis in the Anglo-Egyptian Sudan. II.—The skin and lymph glands in kala-azar

Leishmania parasites have been found in the skin of kala-azar patients in the Anglo-Egyptian Sudan. The frequency, type and distribution of the cutaneous lesions in which parasites have been found are described. It is suggested that these skin conditions are due to the parasites of kala-azar, and not to concurrent infection with the parasites of oriental sore. Leishmania have been found in the “juice” obtained by puncture of the inguinal lymph glands in thirty consecutive cases of kala-azar. The technique used in gland puncture is described, and its possible value in the diagnosis of kala-azar is discussed.