text_original: The spleen may or may not be enlarged ; and, if enlarged, it is difficult to determine whether the hypertrophy is attribut  able to the trypanosoma, or to some concurrent or antecedent malarial infection.
text_transcription: THE SPLEEN MAYOR MAY NOT BE ENLARGED AND IF ENLARGED IT IS DIFFICULT TO DETERMINE WHETHER THE HYPERTHROPHY IS ATTRIBUTABLE TO THE JAPANISOMA OR TO SOME CONCURRENT OR ANTECEDENT MALARIAL INFECTION
phonemes: ðə splˈiːn mˈeɪ ɔːɹ mˈeɪ nˌɑːt biː ɛnlˈɑːɹdʒd ; ænd, ɪf ɛnlˈɑːɹdʒd, ɪɾ ɪz dˈɪfɪkəlt tə dɪtˈɜːmɪn wˈɛðɚ ðə hˌaɪpɚtɹˈoʊfi ɪz ɐtɹˈɪbʌt ˈeɪbəl tə ðə tɹˌaɪpɐnəsˈoʊmə, ɔːɹ tə sˌʌm kəŋkˈɜːɹənt ɔːɹ ˌæntɪsˈiːdənt mælˈɛɹɪəl ɪnfˈɛkʃən.