Two cases of amoebic abscess of liver : cured by aspiration and injection of quinine into the cavity without drainage / by Leonard Rogers and Roger P. Wilson.

  • Leonard Rogers
Date:
[1906?]
Catalogue details

Licence: Public Domain Mark

Credit: Two cases of amoebic abscess of liver : cured by aspiration and injection of quinine into the cavity without drainage / by Leonard Rogers and Roger P. Wilson. Source: Wellcome Collection.

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    = 4 4a a ¢ & nw { 5 “* 4 - y veprteted from the BRITISH=MEDICAL JOURNAL, June 16th, 1906. TWO CASES OF AMOEBIC ABSCESS OF LIVER CURED BY ASPIRATION AND INJECTION OF QUININE INTO THE CAVITY WITHOUT DRAINAGE. BY. - LEONARD ROGERS, anpd Capt. ROGER P. WILSON, M.D., F.B.C.P., B.S., Me .C.Sy,.L.R:C.P* F.R.C.S., I.M.S. I.M.S. INTRODUCTION BY DR. LEONARD ROGERS, NEARLY four years ago, in a paper read before the British Medical Association,’ I showed that living amoebae can be found in the walls of every case of tropical abscess of the liver examined at the time of or shortly after operation, as well as post mortem, if they have not been previously drained for some days, and at the meeting of the Associa- tion last year? I confirmed that statement after much further experience, and also illustrated the great value of the presence of leucocytosis in assisting the early diagnosis of the disease. Moreover, in the first paper I showed that two-thirds of tropical abscesses of the liver seen in Cal- cutta are free from staphylococci and bacteria when first opened, even in the late stage of the disease so commonly met with in native patients, while as a matter of fact in nearly half of the remaining cases but one or two colonies of cocci were obtained on culture, which were probably accidental contaminations or at least played no part in the causation of the disease, an opinion which is borne out by the fact that in Case 1, recorded below, the liver abscess was cured by aspiration and quinine injection in spite of a very small number of colonies of Staphylococcus albus being cultivated from the aspirated pus. Moreover, I then also recorded the fact that I had found the active amoebae in the wall of a liver abscess could be killed with great rapidity and certainty by weak solutions of quinine, and that when such solutions are used for washing out liver abscess cavities, which are discharging thick pus swarming with amoebae, these parasites very rapidly dis- appear, and the discharge becomes much less copious and almost serous in character, as long as it remains free from septic cocci. Having thus found that amoebic abscess of the liver is in the great majority of the cases free from organisms of a bacterial nature, while the constantly present amoeba is readily killed by weak solutions of quinine, while it is well known that this class of abscess does sometimes
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