A Case of Cerebral Malaria with Unusual Onset

was reported to have had sudden vomiting and after several vomits she fainted. Examination?'Temperature on admission 99.2?F., pulse?140, respiration?40 per minute and regular. Lungs clear; heart nothing abnormal found; liver not enlarged; spleen 2 fingers below the costal margin; no rigidity of neck; limbs flaccid; pupils contracted; reflexes present and equal on both sides; knee-jerk slightly present; Babinski's sign absent. Examination of blood showed a heavy infection with Plasmodium falciparum rings. She was at once given an injection of quinine hydrochloride grs. 5 with coramine 1 c.c. intramuscularly. Soap water enema was given. As the patient passed urine in bed during my examination no catheterization was done. Hot foot bath and cold application over head by a continuous flow of water were continued.