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HUMAN INTESTINAL PROTOZOA IN THE NEAR EAST 



CASK SQUIRES, H., aged 32. Patient, who had not been abroad before, left England in 

 September, 1915, and went to Mudros, where he remained three months before being transferred 

 to Egypt. On April 2, 1916, during the routine examination of cooks in Sidi Bishr Camp 

 he was found to be a carrier of E. histolytica. There was no history of previous dysentery. 

 There was also an infection of E. coli and E. nana, and on one occasion lamblia cysts were 

 present. Patient was kept under observation till April 10, when a course of emetin injections 

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

 bed and was given chicken diet. The E. histolytica disappeared, but were again present 

 within a week of the completion of the course. Patient, who had gone to the convalescent 

 camp, returned to hospital and was given a second course of emetin for 12 days (one-grain 

 injection each morning and grain in keratin-coated tabloid each night). During the 

 course he was kept in bed on milk diet. There was no vomiting. This treatment had the 

 effect of abolishing all the infections, including a tricercomonas infection which appeared 

 while patient was in a convalescent camp. After the second course of emetin patient was 

 kept under observation for a month, the last three weeks of which were spent in the convalescent 

 camp, where he performed light duty. The E. coli and E. nana infections recurred, but not the 

 E. histolytica nor the tricercomonas infections. Neither course of emetin had any effect on 

 the patient's temperature or pulse-rate. 



