2 3 ' 1 Leach et al.: Hookworm Disease 



Blood findings: 



Total erythrocytes, 2,130,000. 



Haemoglobin, 40 per cent. 



Polymorphonuclears, 73.5 per cent. 



Eosinophiles, 1 per cent. 



Lymphocytes, 25.5 per cent. 



Poikilocytosis, +. 



Anisocytosis, +. 

 Treatment with 6.3 cubic centimeters of carbon tetrachloride. 

 Worms recovered on screening: 



Ancylostoma duodenale, females, 3. 



Necator americanus: 

 Males, 6. 

 Females, 9. 



Macario Lapingkao, male, aged 24 years; residence, Carcar, 

 cupation, laborer; weight, 40.1 kilograms. 

 Narcotics. — Alcohol and tobacco moderately. 

 Family history. — Three brothers and one sister, all living. 

 Personal history.— Smallpox in infancy; states he has been 



Special senses. — Normal. 



Skin and mucous membranes. — Conjunctiva? extremely anaem 

 mucous membranes very anaemic; palms and finger tips anaemic; 

 face exhibits the characteristic hookworm pallor. 

 Glandular system. — Inguinal glands palpable. 

 Pulse. — 96; regular in rate and rhythm. 

 Heart. — A.C.D., normal; very pronounced haemic murmur. 

 Lungs. — Normal. 

 Genito-urinary system. — Normal. 

 Abdomen. — No tenderness; no masses. 

 Spleen and liver. — Not palpable. 



Nervous system, osseous system, muscles, and joints.— N on 

 Blood findings (100 cells counted) : 

 Total erythrocytes, 2,776,000. 

 Haemoglobin, 25 per cent. 

 Polymorphonuclears, 74 per cent. 

 Eosinophiles, none. 



Lymphocytes and mononuclears, 26 per cent. 

 Poikilocytosis, +. 

 Anisocytosis, +. 

 Treatment with 7.3 cubic centimeters of carbon tetrachloride. 

 Worms recovered on screening: 

 Ancylostoma duodenale : 

 Males, 9. 

 Females, 17. 

 Necator americanus: 

 Males, 57. 

 Females, 100. 

 Macerated hookworms, 7. 



