PART III. TREATMENT 103 



vomiting, but this occurs later when the emetin tabloid has 

 probably passed into the intestine. 



In this group there were treated twelve cases, nine of which 

 were carriers, and three acute amoebic dysenteries showing amoebae 

 with included red blood corpuscles. Of the nine carriers bix were 

 cured and half of these gave a history of previous dysentery. Two 

 of the carriers relapsed and one did not react to the treatment. 

 Of the three acute cases two relapsed and one did not react to 

 treatment. The acute cases all had histories of previous dysentery 

 and emetin treatment. 



The results are as follow : 



Carrier cases cured . . . . . . . . 6 



,, ,, relapsed . . . . . . 2 



, , , , no reaction . . . . . . 1 



Acute cases cured . . . . . . . . 



,, ,, relapsed.. .. .. ..2 



,, no reaction . . . . . . 1 



In this series one of the acute cases (Blair) received the emetin 

 in keratin-coated tabloid instead of the tinct. opii tea mixture. 

 This particular case (Blair) had been treated immediately before 

 with methyl emetin sulphate two grains a day (one-grain injection 

 and one grain by the mouth) for twelve days without any dis- 

 appearance of the amoebae. 



In addition to the cases just mentioned, there were four others 

 which were treated in a different manner, though still by means of 

 emetin orally administered. 



(1) Case Gaskin was given ^ grain of emetin a day by the 

 mouth in the tinct. opii tea mixture for twelve days. The case 

 was one of acute amoebic dysentery showing amoebae with included 

 red blood corpuscles. There was no history of previous dysentery. 

 The case relapsed nine days after treatment was completed. 



(2) Case Spiers was given one grain of emetin in keratin- coated 

 tabloids by the mouth each day for two days followed by half this 

 dose for seven days. This course was commenced immediately on 

 the completion of a twelve-day course of one-grain injections which 

 had not caused a disappearance of the infection. In this case the 

 cure was permanent.* 



(3) Case Healy, who had failed to react to a twelve-day course 

 of one-grain emetin injections, was given emetin grain a day in 

 tinct. opii tea mixture for four days, followed by twice this dose for 

 six days. This had no effect on the infection. 



* See note on case, page 181. 



