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count for a pyemia. Malaria could be excluded by the leucocyte count, the character of the cells and the absence of plasmodia. Uncinariasis was considered, but the absence of eosinophiles in the blood and of the ova of the parasite in the stools made this improbable. The development of the hemiplegia just before death strengthened the diagnosis of endocarditis, as the symptom was probably due to an embolus. Autopsy.-A partial autopsy was obtained. This showed the lungs to be free from disease,doi:10.1001/jama.1906.62510320047003c fatcat:xvz432jw5vfz5gvnktrgjuyxty