﻿IX, B, 5 



Willets: Malaria in General Hospital, Manila 



445 



tion and lived one hour after admission, (2) the patient was in 

 the hospital twenty hours, (3) the patient had severe jaundice 

 and was in the hospital three days, (4) the patient died of peri- 

 tonitis, (5) the patient died of bacillary dysentery. In the first 

 3 cases acute, and in the last 2 cases chronic, lesions were found 

 at autopsy. 



Of the 19 cases, 15 were examined microscopically ante mor- 

 tem. The cases not examined were 1 to 4, inclusive, enumerated 

 above. Of the 15 cases examined, 13, or 86.7 per cent, were 

 positive. Each of the 2 negative cases was examined once, and 

 chronic lesions were found in each at autopsy. Bacillary dys- 

 entery was the cause of death in one, and lobar pneumonia in 

 the other, case. Twelve, or 92.3 per cent, of the 13 positive 

 cases were infected with sestivo-autumnal organisms and 1, or 7.7 

 per cent, was infected with tertian parasites. 



MISCELLANEOUS LABORATORY FINDINGS 



Of the 296 cases which were positive microscopically for 

 malaria, 275 were medical, 13 obstetrical, and 8 surgical; 243 

 were admitted to the hospital primarily because of malaria, and 

 32 for miscellaneous reasons, the malaria infection being detected 

 in the routine examinations. Among the 243 admitted because 

 of malaria, conditions were present in 58 which obviously ex- 

 cluded them from consideration when endeavoring to establish 

 the usual miscellaneous laboratory findings of malarial cases in 

 the Philippines. The urinalysis, faecal findings, haemoglobin per- 

 centages, and leucocyte counts of the remaining 185 cases are 

 given in Tables III to VI, inclusive. 



Table III. — Urinalysis." 



Examinations and findingE. 



Number. 



Per cent. 



Persons not examined. 

 Persons examined 



28 

 157 



Persons negative 



Persons with — 



Albumin 



Albumin and casts 



Albumin, casts, pus cells, and red cells . 



Albumin and pus cells 



Albumin and red cells 



Albumin, casts, and red cells 



Albumin, casts, and pus cells 



Albumin, pus cells, and red cells 



Total _. 



73 

 38 

 13 

 9 

 8 

 8 

 3 

 2 



1.9 



46.6 

 24.2 

 8.3 

 6.7 

 5.1 

 6.1 

 1.9 

 1.3 



167 



100.0 



•As a rule but one morningr specimen of urine was examined. The heat and acetic acid test was 

 used for albumin. 



129558 5 



