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June 1908

THE PREVENTION OF TROPICAL ABSCESS OF THE LIVER BY THE EARLY DIAGNOSIS AND TREATMENT OF THE PRESUPPURATIVE STAGE OF AMEBIC HEPATITIS.

Author Affiliations

CALCUTTA, INDIA

Arch Intern Med (Chic). 1908;I(V):508-515. doi:10.1001/archinte.1908.00050040067003
Abstract

During the last seven years 1 have enjoyed most exceptional opportunities for studying tropical abscess of the liver in Calcutta, and have now arrived at the conclusion that the disease can and should be prevented altogether in the great majority of cases. The following are briefly the steps by which I have reached this position:

In 19021 I published a paper on tropical, or amebic, abscess of the liver and its relationship to amebic dysentery, in which I gave tables to show that I had found living amebas in scrapings from the walls of 35 out of 37 consecutive liver abscesses, the two negative results being in those not examined until twelve or more days after the abscess had been opened and drained. Further, two-thirds of the abscesses, when first opened, were sterile as regards the presence of bacteria. Kruse and Pasquale had previously found amebas in

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