Indigenous Kala-Azar in the Punjab

years we have come across four cases of kalaazar, two of which were imported cases, and of the other two, one got the infection at Mussoorie and the other at Lahore. Reports of these two cases are summarized below :? Case 1.?B. N. G., Hindu male, aged 33 years, born and brought up in Lahore, had not been out of Lahore in the past seven years, was admitted to Sir Ganga Ram Hospital on 2nd October, 1944, with continuous pyrexia of nearly four months' duration. The pyrexia had started gradually since the last week of May and for the first two weeks or so the patient had been attending his office daily, till the range of temperature became high between 100 to 103 ?F. There was no toxaemia, no wasting and only slight anaemia. There was no splenic or hepatic enlargement at this stage and no other localizing signs in the abdomen, chest or any other part of the body. Routine laboratory examinations including the Widal, blood culture and W.R. were all negative. Radiological examination of the chest showed no pathology in the lungs. Mild pyorrhoea alveolaris was present and the septic teeth were pulled out with