OF THE ALIMENTARY TRACT 85 



lytica the indications of the bacillary dysentery are, 

 of course, of the more immediate importance. The 

 amoebic infection may be attended to when the bac- 

 terial infection is overcome or shown to not exist. 



It is in such a stool that the active form of End- 

 amoeba coli is most apt to be mistakenly identified 

 as Endamoeba histolytica and the whole case mis- 

 judged. 



When pus and these large phagocytic cells are 

 features of the stool examination, utmost care should 

 be exercised to avoid overlooking the occurrence of 

 bacillary dysentery, particularly when an amoeba is 

 present to confuse, and more especially when it is 

 thought to be Endamoeba histolytica. 



These are recommended as important practical 

 considerations. 



TREATMENT 



In the opinions of practitioners of wide experience 

 wdth the disease those w^ho expect cure of intestinal 

 amoebiasis or eradication of the amoeba from the 

 intestine by any brief course of medication will come 

 to disillusionment if they follow the course of their 

 bona fide cases carefully and truthfully. 



The first requisite to proper handling of a case 

 of the disease is a correct diagnosis. 



Since the dysfunctions of amoebic dysentery and 

 chronic intestinal amoebiasis not uncommonly dis- 

 appear spontaneously or without specific treatment 



