VIII, B. 2 Willets and Schobl: Cerebrospinal Meningitis 135 



ozsna, which persisted for two weeks, appeared. Blood exam- 

 ination made on September 13 resulted as follows: 



Leucocytes 10,500 



Polynuclears 64 per cent. 



Small lymphocytes 20 per cent. 



Large lymphocytes 5 per cent. 



Transitionals 6 per cent. 



Large mononuclears 2 per cent. 



Eosinophiles 3 per cent. 



On the following day, the urine showed a trace of albumin, 

 otherwise nothing abnormal. On September 16 the patient sat 

 up for fifteen minutes and asked for bread. Light was still 

 displeasing. Fsecal examination revealed the presence of a few 

 ova of Ascaris, Trichuris, and hookworm, and much mucus. 

 On September 19 an afternoon rise of temperature to a fraction 

 below 40° C. occurred, and the patient vomited repeatedly. 

 During the succeeding five days there was a daily rise of tem- 

 perature and headache was present. The temperature then 

 returned to normal. On October 1 profuse perspiration was 

 present most of the morning, and for three or four days there- 

 after a rise of temperature occurred once in twenty-four hours; 

 this apparently yielded to the administration of quinine and 

 aspirin. On October 8 the blood picture was as follows: 



Hsemoglobin 95 per cent. 



Erythrocytes 4,200,000 



Leucocytes 13,000 



Polynuclears 74 per cent. 



Small lymphocytea 18.5 per cent. 



Large lymphocytes 3.5 per cent. 



Transitionals 2.0 per cent. 



Eosinophiles 0.5 per cent. 



Mast cells 1.0 per cent. 



The blood was negative for malarial parasites. His appetite 

 was poor after the rise of temperature on September 19 ; hence 

 the patient became markedly emaciated. He appeared to be 

 very homesick; therefore, his father was allowed to take him 

 home on October 11. This change seems to have been beneficial, 

 for his father stated on October .30 that the boy was gaining 

 weight and walking about. 



The specimen of cerebrospinal fluid was received by us on 

 September 7, six hours after the puncture had been made by 

 Dr. A. M. Saleeby, visiting physician at the Mary Johnston Hos- 

 pital. It was very turbid, and contained numerous grayish 

 white flakes. Smears from the sediment obtained by centri- 



