34 The Philippine Journal of Science 1919 
the disease was 27.7 days. Fall of temperature by crisis was 
_ observed in only one case and fall by lysis in three cases, all 
in cases of the aborted type. 
Symptomatology.—The intramuscular injections were not 
followed by the train of symptoms observed in the case of the 
intravenous injections. However, there was a slight rise of 
temperature, appearing in the majority of cases from twelve 
to twenty-four hours following injection, and rarely after this 
time. The temperature in such instances may fall by lysis and, 
very seldom, by crisis. During the course of the treatment it 
was observed that a mild reaction was necessary in each case 
to obtain the desired result. 
Complications.—The complications are summarized in Table 
XI. 
TABLE XI.—Complications before and during treatment. 
Before | During 
treat- treat- 
ment. ment. 
Lobar p Moan tibia esta ebe sauces a 1 1 
Bronchc Pp Bee ek anal eU ne dcwsesuskoudSececeuucccabescauee ee 0 1 
OIRO Sa a a nie ty ec 0 0 
NN aa rah an enh bea) Sees aE ve a 1 2 
There were two cases that developed complications during 
the treatment, giving a rate of 20 per cent; one case was lobar 
pneumonia and the other bronchopneumonia. 
Mortality.—The total mortality in these ten cases was three, 
a death rate of 30 per cent, which is exceedingly high. Ex- 
cluding two cases admitted in a very serious condition, the 
mortality rate would be 10 per cent. The deaths that occurred 
did not follow immediately after injection, but two days later. 
Only two cases were autopsied; the findings are shown below: 
Autopsy findings (sensitized intramuscular treatment). 
File No. 1968: J. P. 
Anatomic diagnosis: Typhoid enteritis (healing); acute parenchy- 
matous degeneration, viscera; beginning lobar pneumonia, right; 
chronic fibrous pleurisy ; oedema of the meninges, 
File No. 1914: V. H. 
Anatomic diagnosis: Bilateral bronchopneumonia; typhoid enteritis 
(healing) ; cardiac dilatation; acute parenchymatous degeneration, 
viscera; acute cholecystitis, 
It will be seen, therefore, that the patients died of “typhoid 
accidents,” 
