text_original: At all events the huge spleens and hypertrophied livers, so common in Kala  Azar, are rare in trypanosoma disease. In the late stages, when the nervous system has become definitely involved, the tremor of the tongue and hands, the physical and mental lethargy, apart from the discovery of the parasite in the blood, make diagnosis comparatively easy ; but in the earlier stages of the infection, diagnosis from the clinical symptoms alone may be difficult or impossible.
text_transcription: AT ALL EVENTS THE HUGE SPLEENS AND HYPERCHROFE LIVER SO COMMON IN CALL AS ARE RARE IN JAPANA SOMAL DISEASE IN THE LATE STAGES WHEN THE NERVOUS SYSTEM HAS BECOME DEFINITELY INVOLVED THE TREMOR OF THE TONGUE AND HANDS THE PHYSICAL AND MENTAL LETHARGY APART FROM THE DISCOVERY OF THE PARASITE IN THE BLOOD MAKE DIAGNOSIS COMPARATIVELY EASY BUT IN THE EARLIER STAGES OF THE INFECTION DIAGNOSIS FROM THE CLINICAL SYMPTOMS ALONE MAY BE DIFFICULT OR IMPOSSIBLE
phonemes: æɾ ˈɔːl ᵻvˈɛnts ðə hjˈuːdʒ splˈiːnz ænd hˌaɪpɚtɹˈoʊfid lˈɪvɚz, sˌoʊ kˈɑːmən ɪn kˈɑːlə ˈæzɑːɹ, ɑːɹ ɹˈɛɹ ɪn tɹˌaɪpɐnəsˈoʊmə dɪzˈiːz. ɪnðə lˈeɪt stˈeɪdʒᵻz, wˌɛn ðə nˈɜːvəs sˈɪstəm hɐz bɪkˌʌm dˈɛfɪnətli ɪnvˈɑːlvd, ðə tɹˈɛmɚɹ ʌvðə tˈʌŋ ænd hˈændz, ðə fˈɪzɪkəl ænd mˈɛntəl lˈɛθɚdʒi, ɐpˈɑːɹt fɹʌmðə dɪskˈʌvɚɹi ʌvðə pˈæɹəsˌaɪt ɪnðə blˈʌd, mˌeɪk dˌaɪəɡnˈoʊsɪs kəmpˈæɹətˌɪvli ˈiːzi ; bˌʌt ɪnðɪ ˈɜːlɪɚ stˈeɪdʒᵻz ʌvðɪ ɪnfˈɛkʃən, dˌaɪəɡnˈoʊsɪs fɹʌmðə klˈɪnɪkəl sˈɪmptəmz ɐlˈoʊn mˈeɪ biː dˈɪfɪkəlt ɔːɹ ɪmpˈɑːsᵻbəl.