APPENDIX 



169 



CASE ORMROD, T. H., aged 27. Patient, who had not been abroad before, left England 

 in the middle of 1915 for Mudros, where he remained for five months. He then came to 

 Egypt and was found on February 12, 1916, to be a carrier of E. histolytica in the routine 

 examination of men in Camp A. Patient had suffered from attacks of diarrhoea but had 

 not had dysentery. He was kept under observation till February 27, when he was given a 

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

 after the second dose. There was a concurrent E. coli infection. There was no recurrence 

 of the E. histolytica during a control of one month, the last three weeks of which patient 

 spent in the convalescent camp on light duty. During treatment he was not kept in bed, 

 and was given chicken diet. The course of emetin had no effect on the temperature, 

 though the pulse-rate, which was decidedly slow before, became more rapid during and after 

 treatment. 



CASE COOPER, L. J., aged 20. Patient, who had not been abroad before, came to Egypt 

 from England in January, 1916. He was found to be infected with E. histolytica on 

 March 2, 1916, during routine examination of cooks in Sidi Bishr Camp. He was kept 

 under observation till March 11, when a course of emetin injections (one grain a day for 

 12 days) was commenced. The E. histolytica infection disappeared after the first dose of emetin 

 and did not recur in a subsequent control of one month after treatment was completed. The 

 E. coli, which was present on the first examination and then absent, reappeared during the 

 course of emetin. After treatment the patient was in the convalescent camp, where he 

 performed light duty. The emetin did not appear to have any influence on the patient's 

 temperature or pulse-rate. Just 20 days after the control of this patient was completed he 

 was re-admitted to hospital for dysentery. Examination showed no amoebae but the cellular 

 picture of a bacillary infection. The stool was examined microscopically for four days and no 

 signs of the original E. histolytica infection could be found. There was no history of previous 

 dysentery. 



