158 



HUMAN INTESTINAL PROTOZOA IN THE NEAR EAST 



SECTION I. 



CASE URE, aged 20. Patient, who had never been abroad before, left England on May 24, 

 1915, and went to Gallipoli (Cape Hellas). He suffered there from jaundice (October, 1915), 

 and later had dysentery, for which he had eight injections of emetin (dose ?). He was 

 invalided to Alexandria and admitted to hospital as enteric (December 15, 1915). The stool 

 was examined on February 6, 1916, and found to contain cysts and free minuta forms of 

 E. histolytica. He received emetin injections of one grain a day from February 21 to March 3. 

 The cysts and amoebae disappeared by the fifth day of treatment and did not recur. During 

 treatment patient was not confined to bed and had chicken diet. The emetin injections had 

 no effect on the pulse-rate in spite of a previous shortness of breath and an aortic systolic 

 bruit. The temperature remained normal or slightly subnormal. During the last three weeks 

 of control the patient was under observation in the convalescent camp, where he performed 

 light duty. 



CASE THOMPSON, A., aged 21. Patient left England for the first time in 1915, and was on 

 the Peninsula for nine weeks. He then came to Egypt, where he remained 13 weeks, till 

 he was invalided home for dysentery in September. He returned to Egypt in January, 1916, 

 and was found on April 2, in the course of routine examination of cooks in Sidi Bishr Camp, to 

 be a carrier of E. histolytica. He was admitted to hospital and found also to harbour E. coli, 

 Tetramitus and Lamblia. He was kept under observation till March 11, when a course of 

 emetin (one grain a day for 12 days) was commenced. During treatment he was not kept 

 in bed and was on chicken diet. The treatment abolished the E. histolytica infection but not 

 the others. There was no alteration in the temperature or pulse-rate as a result of the emetin. 

 There was no return of the E. histolytica infection during a control of one month in the 

 convalescent camp, where patient was on light duty. 



