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August 8, 1953


JAMA. 1953;152(15):1454-1455. doi:10.1001/jama.1953.03690150058020

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Ascarides Perforated Intestines.  —In volume 10 of Bursa Klinik Dr. Feridun Timur, chief of the Kutahya General Hospital medical department, reports a case of perforation of the intestines caused by ascarides with resultant peritonitis. The patient, a 30-year-old farmer, had suffered acidity of the stomach, profuse salivation at night, and itching of the nose for five years. Twelve days prior to admission to the hospital the patient felt an abdominal pain that gradually increased; constipation, nausea, and vomiting began, and the pain in the abdomen became unbearable. On admission to the hospital the patient was in a coma and had a temperature of 38.5 C, a pulse rate of 130, hallow cheeks, and a greatly distended abdomen. The blood cell count revealed 3,400,000 red blood cells and 6,000 white blood cells. The differential count revealed 70% polymorphonuclear cells, 21% lymphocytes, 5% transitionals, and 4% monocytes; the sedimentation rate was 32

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