XII, B, 3 Abriol: AmcBbic Abscess of the Liver 145 



by administration of this drug. The after treatment in cases 

 operated upon by Oilman's method is essentially the same. After 

 one week the tube is cut near the operative incision and covered 

 with dressings, 



CONCLUSIONS 



1. Seventy-nine per cent of liver abscess cases among Filipinos 

 as seen at the Philippine General Hospital are distinctly asso- 

 ciated with intestinal amoebiasis. 



2. Liver abscess is relatively frequent among Filipinos. 



3. There is apparent predominance of cases of liver abscess 

 among Filipinos during the cool and rainy months. 



4. The age incidence corresponds with that of other countries. 



5. Filipino women are not as immune to the disease as Euro- 

 pean or American women. 



6. Occupation plays an important role in the etiology of liver 

 abscess, as in certain occupations the individuals are brought 

 to a condition or position favorable to infection. 



7. The right lobe is the most frequent site of the abscess in 

 our cases among Filipinos. 



8. Fever is not typical in cases of amoebic abscess of the liver. 



9. There is nothing characteristic in the pain symptoms. 



10. The blood picture varies — being normal in many cases. 

 In the majority of the cases, the polynuclear count is normal. 

 There is no eosinophilia in our cases, nor is there any increase in 

 the mononuclears. 



11. Diagnosis is easy in advanced cases, but extremely difficult 

 in early cases with small abscesses. 



12. Intestinal hemorrhage as a complication of liver abscess 

 is not necessarily fatal. 



13. Mortality among Filipino cases is relatively low, in spite 

 of the fact that they come very late for treatment. 



In conclusion, I desire to express my gratitude to Drs. W. E. 

 Musgrave, P. K. Oilman, and B. C. Crowell and the Misses Es- 

 peranza Concepcion, Carmen Ocampo, and Catalina Oallaron, for 

 many favors and valuable assistance. 



REFERENCES 



(1) Manson. Tropical Diseases. William Wood and Co., New York 



(1910). 



(2) CASTELLA>fi and Chalmers. Manual of Tropical Medicine. Bailliere, 



Tindall and Cox, London. 2d ed. (1913). 



(3) Saundby and Miller. Brit. Med. Journ. (1909), 1, 771. 



