Annual report on the Medical Research Institute / 1909-.

  • Nigeria. Medical Research Institute.
Date:
[1916]
Catalogue details

Licence: Public Domain Mark

Credit: Annual report on the Medical Research Institute / 1909-. Source: Wellcome Collection.

    16/38 (page 14)
    On the second day mononuclear erythrophages were 0*8^ (4 in 500 leucocytes), one having ingested one red cell, another 3, another 5 and the fourth was merely vacuolated. On the third the erythrophages were l'fc/o (one with 1, and one with 3 red cells ingested). On the fourth day the percentage was 0’8, on the fifth 0*4 and on the seventh day they were 0*6^. They were not observed on the thirteenth day. The blood was not examined until the second day of illness in live cases. In two of these the results given are merely “ no parasites ; some pigmented mononuclears ” and “ no parasites ; large number of transitionals ” respectively. Differential leucocyte counts were made in the other three. Poly¬ morph. Small lymph. Large lymph. Mono¬ nuclear. Eosino¬ phil. Transi¬ tional. Mast cells. Myelo¬ cytes. Normo¬ blasts. I. 2nd day 71 8-G 2'2 10 6-0 0*2 1*4 3rd day 02 8-8 3-2 17‘6 1-8 0 0-2 0‘4 • • • 5tli day 65*4 11-4 2*4 11 0-8 7-2 0-4 1 oq No parasites or pigmented mononuclear cells were seen on any occasion but anisocytosis, poikiloc}Tosis and basophilia were noted. Erythropages (mononuclear, vacuolated) were 0*8^ on the second day, 'l2°/o on the third and on the fifth day. Poly- Small Large Mono- Eosino- Transi- morph. lymph. . lymph. nuclear. phil. tional. II. 2nd day 75 10-6 5-6 7’6 1*2 3rd day 67 15*4 8-2 5*4 6-0 3*4 No parasites and no pigmented leucocytes were seen in this case but there was obvious inequality in the size and shape of the red cells. No erythrophages were encountered. Poly¬ morph. Small lymph. Large lymph. Mono¬ nuclear. . Eosino- Transi- phil. | tional. 1 Mast cells. Myelo¬ cytes. Normo¬ blasts. III. ... 63-4 10-2 5*4 10*4 1 0*2 2*4 0-2 7*6 0‘2 There vTas distinct poikilocytosis. The erythrophages were 0*2 per cent. An examination of the blood was first made on the third day of illness in 3 cases. The findings were (1) “ no parasites ” (2) “ no para¬ sites ; a few pigmented mononuclear leucocytes; haemoglobin 60%; polymorph 59'42^, large and intermediate mononuclears 12%, small mononuclears 31^, eosinophils 1*5% ” (3) “ no parasites; haemoglobin 50^ ; polymorphs 67’5^ large and intermediate mononuclears 14^; small mononuclears 18*5%.” Blood smears were first taken on the fourth day of illness in three cases. In the first case, the patient was not seen until the 4th day and lie died a few hours thereafter. The results of the examination were that no parasites were found but a fewr pigmented mononuclear cells were observed. There was considerable poikilocy tosis. The differential leucocyte count was :— Poly¬ morph. Small lymph. Large lymph. Mono¬ nuclear. Transi¬ tional. Mast cells. 37’5 5-0 1T4 41 4*4 0*1 (1,000 leucocytes counted).