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HUMAN INTESTINAL PROTOZOA IN THE NEAR EAST 



CASE PERO, aged (?). Patient, who had previously been abroad before in German W. Africa, 

 left England on December 28, 1915, and came direct to Egypt. He was on the western Egyptian 

 frontier for two months and then returned to Alexandria, where, on April 4, he was found to be 

 a carrier of E. histolytica during the routine examination of cooks at Sidi Bishr Camp. He had 

 never suffered from dysentery. There was also an infection of E. coli and tetramitus, and on two 

 occasions trichomonas was found. Patient was placed on emetin injections (one grain a day 

 for 12 days) from April 15 to 25. He was not kept in bed and was given chicken diet. The 

 E. histolytica infection quickly disappeared but returned on May 2, five days after patient had 

 gone to the convalescent camp. He was re-admitted to hospital and a second course of emetin 

 was commenced for 12 days (one grain injection in the morning and grain in keratin-coated 

 tabloid by the mouth at night). During this course patient was kept in bed and given milk diet 

 He vomited regularly after taking the emetin at night, so after six nights the grain by the moutl 

 was discontinued. In spite of this all three infections disappeared quickly and during the contro 

 of over one month after treatment the tetramitus infection alone reappeared. For the last threi 

 weeks of observation patient was in convalescent camp, where he performed light duty. Th 

 first course of emetin had no effect on the patient's temperature or pulse-rate, but the seconc 

 course produced a rapid pulse which persisted for over a week after the course was completed. 



