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Clinical Amoebiasis

by A. J. WILMOT, D.M. (Oxon), M.R.C.P. (London), Associate Professor of Medicine, University of Natal; Appendix by E. F. HENNESSY, B.Sc. (Hons.) Natal; Foreword by A. R. D. ADAMS, School of Tropical Medicine, Liverpool. x + 166 pages, illustrated. Philadelphia. F. A. Davis Company. 1962. $6.00

This book is the result of fifteen years of clinical experience with amebiasis at the King Edward VIII Hospital in Durban, South Africa, where thousands of patients suffering from amebiasis are seen annually. Dr. Wilmot, Associate Professor of Medicine, University of Natal, is a member of the Amoebiasis Research Unit under the direction of Dr. R. Elsdon-Dew.

In his introduction, Dr. Wilmot traces the development of our knowledge of Entamoeba histolytica and its host relationships, discussing particularly its lumen-dwelling possibilities in the colon, and the factors related to its invasion of the intestinal wall and spread to other organs. He considers it normally a commensal with the capability of becoming a pathogen. He accepts the designation of the small race as a separate species, E. hartmanni, "probably always a commensal".

Fifty pages are devoted to Intestinal Amebiasis, with particular emphasis on endoscopy, clinical manifestations and chemotherapy.The appearance of ulcers is described, and the proper methods of obtaining specimens for identification of E.hiatolytica are stressed.