Leach et al.: Hookworm Disease 



Getulio Umban, male, aged 28 years; residence, Carcar, Cebu; occupa- 

 tion, laborer; weight, 45.6 kilograms. 



This patient had been previously treated for hookworm. 

 Narcotics. — Alcohol and tobacco moderately. 

 Family history. — All members of family alive and well. 

 Personal history—Mumps at 8 years; smallpox in childhood. 

 Special senses.— Normal. 



Skin and mucous membranes.— Visible mucous membranes extremely 

 amemic; conjunctiva? very anaemic; palms and finger tips very pale; ashen 

 gray appearance of skin of face; smallpox pittings. 

 Glandular system.— Inguinal glands palpable. 

 Pulse.— 84; regular in rate and rhythm. 



Heart. — A. CD., slightly increased to left; pronounced hsmic murmur. 

 Lungs. — Normal. 



Genito-urinary system. — Right hydrocele; has been operated upon. 

 Abdomen. — No tenderness; no masses. 

 Spleen and liver. — Not palpable. 



Nervous system, osseous system, muscles, and joints. — Normal. 

 Blood findings: 



Total erythrocytes, 1,920,000. 



Haemoglobin, 15 per cent. 



Polymorphonuclears, 71 per cent. 



Eosinophiles, none. 



Lymphocytes, 29 per cent. 



Poikilocytosis, +. 



Anisocytosis, +. 



Nucleated red cells, 5. 

 Treatment with 8.3 cubic centimeters of carbon tetrachloride. 

 Worms recovered on screening: 



Ancylostoma duodenale: 

 Male, 1. 



Necator americanus, females, 9. 



Meliton Montesa, male, aged 27 years; residence, Ormoc, Leyte; occupa- 

 tion, laborer; weight, 51.1 kilograms. 



Narcotics. — Alcohol in moderation. 



Family history.— Mother died of tuberculosis; father living; three bro- 

 thers dead, one of tuberculosis, one of influenza, and one of dysentery; 

 one sister died of unknown cause. 



Personal history.— "Fever" of five days' duration in 1922; denies other 

 illnesses. 



Special senses. — Normal. 



Skin and mucous membranes.— -Visible mucous membranes and conjunc- 

 tiva; quite anaanic; skin of palms and finger ends very pale; ashen gray 

 pallor of face; marked oedema of feet and ankles. 



