| Popis: |
This case is reported because of the most unusual degree of polymorphonuclear leukopenia which occurred during the third week of typhoid fever. The patient, J. S., man, aged 19, was admitted, Sept. 26, 1915, to the service of Dr. Alfred Stengel, University Hospital. He complainedof weakness, headache, diarrhea, and fever of gradual onset about September 12, persisting with varying intensity up to admission. Physical examination showed an emaciated young adult male, evidently toxic and heavily infected. The pulse was dichrotic; the posterior cervical, epitrochlear and inguinal lymph nodes were slightly enlarged; the spleen was not palpable on admission, but became so three days later; the abdomen was moderately distended and exhibited a few characteristic rose-spots; the thorax was negative except for the evidences of a mild acute bronchitis. The temperature ranged in the first twenty-four hours from 103.8 to 99.4 F., the pulse from 120 to 96, and the respirations |
