nothing abnormal. The spleen was not palpable and the liver not 

 enlarged. The abdomen was not distended and there was no pain on 

 pressure. The temperature registered 99° and the pulse 72. The 

 examination of the urine showed nothing pathological. The patient 

 was placed upon liquid diet, and given one-half ounce Eochelle salt. 

 Local treatment consisting of high enemata of quinine solution 

 (1-5,000) was then begun and administered daily, the strength of 

 the solution being graduall}' increased to 1-500 and the amount of 

 fluid employed from 1 to 2 liters. Under such treatment, and 

 with occasional saline purges, he gradually improved. The tenes- 

 mus and irrital)ility of the large bowel gradually decreased and the 

 blood and mucus almost entirely disappeared from the faeces, so 

 that after three weeks' treatment the bowel movements became 

 reduced to one or two per day and the patient was up and about, 

 though still under treatment. The case seemed to be progressing 

 favorably. 



However, on February 25 the temperature, which had not been 

 above 99.5°, rose to 103°, and the patient complained of head- 

 ache and some pain in the chest. There was one bowel movement 

 on this date. On February 26 the temperature remained in the 

 neighborhood of 102°, but the patient complained of no pain. The 

 bowels did not move for twenty-four hours. On the morning of 

 the 27th a blood examination of a fresh smear revealed some increase 

 of the white blood cells and a blood count showed 25,000 leucocytes. 

 He was given one-half ounce of Eochelle salt, and an examination 

 of the fluid stool passed shortly after revealed no blood. On micro- 

 scopical examination a fair number of amoebEe and some epithelial 

 cells and leucocytes were present. On February 28 the morning 

 temperature registered 102°. The conjunctivae were slightly tinged 

 with yellow. There was still complaint of some pain in the right 

 side of the chest, but most of the pain was referred to the right 

 inguinal region. The edge of tlio liver was not palpable. A blood 

 count showed 28,000 leucocytes. A diagnosis of liver abscess was 

 made and the patient was transferred to the surgical side of the 

 hospital. The bowels moved but once on this date. On March 1 

 the temperature ranged between 102° and 103° and on March 2 

 it touched 104.2°. 



On March 3 he was operated upon. An incision was first made 

 over the right hypochondriac region just I)olow the costal margin and 

 the lower portion of the right lobe of the liver exposed. An attempt 



