The Medical clinics of North America . rhea or dysentery. At the time of her laparotomyby Dr. M. E. Rumwell, three months ago, the gall-bladder wasgrossly normal and there was no gross lesion discoverable in thestomach or intestines other than a thickened, inflamed number of rather large lymph-nodes were seen in the peri-toneum and lesser omentum. In the last two or three years herweight has steadily increased to 174 pounds. She is 5 feet. 4inches tall. She has thyro-ovarian insufficiency. Her blood shows a moderate secondary anemia. Kidneyfunction is normal. The only abnormal labor
The Medical clinics of North America . rhea or dysentery. At the time of her laparotomyby Dr. M. E. Rumwell, three months ago, the gall-bladder wasgrossly normal and there was no gross lesion discoverable in thestomach or intestines other than a thickened, inflamed number of rather large lymph-nodes were seen in the peri-toneum and lesser omentum. In the last two or three years herweight has steadily increased to 174 pounds. She is 5 feet. 4inches tall. She has thyro-ovarian insufficiency. Her blood shows a moderate secondary anemia. Kidneyfunction is normal. The only abnormal laboratory finding isthe presence of numerous eight-nucleated cysts of Entamoebacoli. These have been identified as that variety described byKofoid and Swezy as Councilmania lafleurii. She is now under treatment for the amebiasis. At the sametime she is taking ovarian residue and thyroxin. 412 ALFRED C. REED, HARRY A. WYCKOFF We have seen a considerable number of cases of amebiasis ofKofoids Councilmania type. The final determination as to. Fig. 99.—Entamoeba coli, motile form.
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