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February 10, 1923


JAMA. 1923;80(6):422. doi:10.1001/jama.1923.02640330058035

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To the Editor:  —In the editorial, January 27, on "Intestinal Worms and Appendicitis," this statement occurs: "It has been objected that very few of the thousands of appendixes removed are reported to contain parasites." F. K. Noack is quoted as having found nine appendixes out of fifteen infested; the work was evidently done on European patients. It may not be amiss to supplement the editorial with the following note: I recently dissected ninety-six appendixes removed at operation with the express purpose of obtaining some definite percentage figures as to parasitic infestation of the organ. Four of the ninety-six, or 4.16 per cent., harbored Oxyuris vermicularis. The infestation varied widely. The most lightly infested appendix had one large adult female; the most heavily infested had twenty-five worms—larvae, adult males and females. Histologically, the organs showed an acute or subacute inflammation, with many polymorphonuclear leukocytes and a few to numerous eosinophils. No

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