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A PROTOZOÖN GENERAL INFECTION PRODUCING PSEUDOTUBERCLES IN THE LUNGS AND FOCAL NECROSES IN THE LIVER, SPLEEN AND LYMPHNODES.
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1906
Year
PathologyPleural EffusionSpleen And LymphnodesAnatomyRib Marrow.tubercle BacilliHuman PathologyDec. 7PneumothoraxForensic MedicineMedical HistoryBone MarrowTuberculosis DiagnosticsParasitologyPulmonary PathologyClinical Case ReportHistopathologyTuberculosisPathogenesisMicrobiologyMedicine
On Dec. 7, 1905, while examining smears from the lungs, spleen and bone marrow in a case that appeared to be miliary tuberculosis of the lungs, I found enor- mous numbers of small bodies generally oval or round.Most of them were intracellular in alveolar epithelial cells, while others appeared to be free in the plasma of the spleen and rib marrow.Tubercle bacilli were absent.The following is an account of the case:Patient.\p=m-\C.D., negro from Martinique, aged 27, occupa- tion carpenter; address, Paraiso, a village in the Canal Zone.History.\p=m-\Thepatient had been a resident of the zone three months.While in Martinique he had suffered from some mental disturbance.His present illness dates from Sept. 15, 1905, when he complained of fever and vomiting.Condition on Admission to Hospital.\p=m-\OnenteringAncon Hospital Dec. 5, 1905, he was mildly delirious and incoherent.Lungs were clear; abdomen was scaphoid; spleen was en- larged.Blood: Negative for malarial parasites, leucocytosis, 2200.Hemoglobin: 60 per cent.(Dare's).