APPENDIX 



175 



CASE BOYD, aged 37. Patient, who had not been abroad before, left England on March 2, 

 1916, and came direct to Egypt, where on April 6, during the routine examination of cooks in 

 Sidi Bishr Camp, he was found to be infected with E. histolytica. t He had also an infection of 

 tetramitus, and later on showed at one time or another infection of E. coli and tricercomonas. 

 A lamblia infection appeared at the end of the observation, the patient having probably become 

 infected in camp. There was no history of dysentery. Patient was kept under observation 

 till April 15, when a course of emetin injections was commenced (one grain a day for 12 days). 

 During the course he was not kept in bed and was on chicken diet. The E. histolytica cysts 

 disappeared from the stool before the end of the course, but recurred again within a week. 

 Patient, who had gone to the convalescent camp, was re-admitted to hospital, and a second 

 course of emetin given (one-grain injection each morning, and grain in keratin-coated tabloid 

 each night). Patient was kept in bed on milk diet. There was no vomiting. The E. histolytica 

 quickly disappeared and did not recur during a control of over one month, during the greater 

 part of which patient spent in the convalescent camp on light duty. The courses of emetin had 

 no effect on the patient's temperature or pulse-rate. 



