APPENDIX 



165 



CASE KUSSELL, F., aged 35. Patient, who had never been abroad before, left England in 

 August, 1915, for the Peninsula, where he remained three months. He came to Egypt in 

 December, 1915, and on March 21, 1916, was found to be a carrier of E. histolytica during the 

 routine examination of cooks at Sidi Bishr Carnp. Patient had dysentery whilst on the 

 Peninsula, but had no emetin. There was present also an I-cyst infection, which disappeared 

 before treatment was commenced on April 11. The cysts of E. histolytica in this case were 

 very small, having an average diameter of 7 to 10 microns. From April 11 to 22 patient 

 was given emetin injections of one grain a day for 12 days. The E. histolytica disappeared 

 after the second dose and did not recur during a control of one month, which patient spent in 

 the convalescent camp, where he performed light duty. After a week's stay in the camp patient 

 contracted an infection of E. nana. During treatment he was not kept in bed and was on 

 chicken diet. The emetin had no effect on the temperature, but the pulse-rate was definitely 

 accelerated towards the end of the course. 



CASE MYERS M., aged (?). Patient, who had not been abroad before, left England in 

 October, 1915, and came direct to Egypt. On April 20, 1916, he was found to be a carrier 

 of E. histolytica. During the routine examination of cooks in Mustapha Camp, he had also 

 an infection of I-cysts, and later on there appeared infections of trichomonas, tetramitus, 

 E. coli, E. iiana, and on one occasion only tricercomonas. There was no history of dysentery. 

 Patient was given a course of emetin injections (one grain a day for 12 days) from April 25 

 onwards. The E. histolytica infection disappeared and did not recur during a control of one 

 month, the last three weeks of which patient spent in the convalescent camp, where he 

 performed light duty. The emetin had no effect on the patient's temperature or pulse-rate. 

 During treatment he was not kept in bed and was on chicken diet. 



