From our study so far it is evident that there are numerous occurrences in the course of malaria interesting to the surgeon. I might mention only the gangrene, the neuralgias, the ruptures of the spleen, and the splenic abscesses.

Another direction in which it touches the realm of surgery is that a slumbering malarial infection may be awakened by a trauma. The frequency of these cases has been somewhat exaggerated, yet isolated unmistakable observations have been recorded. Especially wounds of the spleen seem adapted to produce this effect.

The surgical aspect of malaria was taken up particularly by Verneuil, though we must insist that we are not ready to follow him to all his conclusions. We are especially skeptical in relation to the fevers occurring with open wounds which he offers as proofs of his view, as well as in regard to the hemorrhages from operation wounds (for instance, in one case following cancer of the tongue). The source of these is probably to be sought in other things than a reawakened malaria. Only blood examinations can decide this question, and prove in isolated cases whether Verneuil's "Le traumatisme bat le rappel des diatheses" is true, or whether we have to do with new infections or other accidents. Verneuil's views have been completely detailed in a thesis from Taileb-Oulld Morsly. We will only mention further from this paper that malaria protracts the healing of wounds and the consolidation of fractures.