Abstract
There is no uniformity in medical literature concerning leukocytosis following typhoid perforation of the intestines. A review of the subject reveals a wide diversity of opinion. Some 1 state that this complication of typhoid fever is followed by an immediate leukocytosis; others 2 report that this phenomenon is usual but not constant, and others 3 that the count may be high, may be unchanged, or may even suddenly fall. Statements also appear 4 that the differential count is the most important diagnostic consideration, while still other writers 5 conclude that changes in the white blood count are totally unreliable in the diagnosis of this condition. In other words, there are at least five distinct teachings concerning this point. RECORDS FROM BELLEVUE HOSPITAL Finding these various opinions—with some diametrically opposed statements—we determined to ascertain the leukocytic reactions produced by typhoid peritonitis, as recorded at Bellevue Hospital, on the charts of patients
Published Version
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