162 



HUMAN INTESTINAL PROTOZOA IN THE NEAR EAST 



CASE MORRIS, J., aged 38. Patient, who had previously been in India, South Africa and 

 Japan, left England on June 7, 1915. He went to the Peninsula, where he was wounded after 

 five days. He had diarrhoea and traces of blood and mucus. He came to Egypt in July 

 and was employed as cook in Sidi Bishr Camp, where his stool was examined on March 31, 

 1916, in the course of routine examination of cooks in this camp. There were present in 

 the stool numerous small round and oval cysts which contained four nuclei and were taken 

 to be small forms of E. histolytica cysts and in addition small typical cysts of E. histolytica. 

 The former subsequently turned out to be cysts of E. nana. The patient also had tetramitus 

 and the hitherto undescribed flagellate Waskia intestinalis. Patient was given a course of 

 emetin injections (one grain a day for 12 days) from March 13 onwards, but though this 

 abolished his infection for the time being, they all returned later with the exception of the 

 E. histolytica. Patient had a very bad pyorrhoea, and examination of the mouth soon aftex 

 the completion of the course of emetin showed in the pus from the teeth the usual mixture 

 of bacteria spirochsetes, leptothrix, and pus cells, but no amoebae. There was present 

 constantly a trichomonas infection, and later amoebae appeared in large numbers. The 

 constant presence of trichomonas in the mouth and their equally constant absence from 

 the stool is of interest from the point of view of the difference in species of the mouth 

 and intestinal forms. 



Days 



1 



3 



4 



5 



8 



9 



11 



13 



14 



15 



16 



17 



18 



19 



20 



22 

 23 

 24 

 25 

 26 

 27 

 38 

 29 

 30 

 31 

 32 

 33 

 34 

 35 

 36 

 37 

 38 

 39 

 40 

 41 

 42 



Treatment 



E.I 

 E.I 

 E.I 

 E.I 

 E.I 

 E.I 

 E.I 

 E.I 

 E.I 

 E.I 

 E.I 

 E.I 



FINDINGS 



E.h.c. 



E.c.c. 



E.f. 



E.n.c. 



E.n.f. 



Tet.c. 



Tetf. 



W.c. 



W.f. 



B.f. 



B.sf. 



B.I. 



B.I. 



B.I. 



B.I. 



B.uf. 



B.uf. 



B.I. 



B.uf. 



B.I. 



B.uf. 



L.b.l. 



B.uf. 



B.uf. 



B.uf. 



B.I. 



B.I. 



B.I. 



B.I. 



B.I. 



B.I. 



B.I. 



B.I. 



B.I. 



B.uf. 



B.uf. 



B.I. 



B!uf. 



B.I. 



B.uf. 



B.I. 



B.I. 



B.I. 



B.I. 



