Eosinophilia associated with hydatid disease / by C.G. Seligmann and L.S. Dudgeon.

  • Seligman, C. G. (Charles Gabriel), 1873-1940.
Date:
[1902]
Catalogue details

Licence: In copyright

Credit: Eosinophilia associated with hydatid disease / by C.G. Seligmann and L.S. Dudgeon. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    8 from both wounds and a few collapsed cysts were also dis- charged. A blood count taken on March 13th, when the morning temperature was 102°, showed : red cells, 2,934,375 and white cells, 7600 per cubic millimetre. A differential count showed: polymorphonuclear neutrophiles, 73 ‘2 per cent. ; eosinophiles, 3-2 per cent. ; lymphocytes, 22 2 per cent. ; and basophiles, l-4 per cent. On the 21st a further cyst was evacuated and a large quantity of clear fluid was withdrawn. On April 3rd the fifth examination of the blood was made when a differential count (200) gave : poly- morphonuclear neutrophiles, 64 5 per cent. ; eosinophiles, 1 per cent. ; lymphocytes, 34 ’5 per cent. ; and basophiles, nil. No urticarial rash was present at any stage of the patient’s illness. The chief interest of the case centres in the high per- centage of eosinophiles present. The number found in the first count is in excess of any records which we have been able to find, with the exception of a case of trichinosis under the care of W. Osier,1 in which the blood was examined by T. R. Brown and the eosinophiles were found to number 68 per cent, in a total leucocytosis of 1700, and a case of ankylostomiasis examined by Bucklers,2 in which the eosinophiles numbered 72 per cent. It is most nearly approached by certain other cases of trichinosis and in bronchial asthma at the time of the paroxysms. In the latter complaint Billings3 reports counts of 53 6 per cent., 38'2 per cent., and 33'9 per cent., eosinophiles in three cases in which the total leucocyte count was not increased. As is well known eosinophilia—for the most part of slight degree— occurs in a number of diseases, especially, according to 1 Osier: Principles and Practice of Medicine, p. 357 (London, 1901); and Cabot: Clinical Examination of the Blood, p. 289 (London and New York, 1900). 2 Quoted by Ehrlich and Loranua : Histology of the Blood, 1900.