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HUMAN INTESTINAL PROTOZOA IN THE NEAR EAST 



CASE DORTER, P., aged 32. Patient, who is an Australian, first had dysentery two years 

 ago in Western Australia, and has had attacks on many occasions since then. In March, 1915, 

 he was ill with dysentery in Cairo, and later in the month in hospital in Alexandria. He 

 was treated with emetin (dose ?). During April and May, 1915, he had dysentery on the 

 Peninsula. He was invalided to Malta with a gunshot wound in the hand, and had an attack 

 of dysentery while there. He had further attacks in England in November, 1915, and 

 March, 1916. He was transferred to Egypt and suffered from dysentery on the voyage out. 

 He was admitted to the 15th General Hospital on arrival at Alexandria on April 10, 1916. 

 Between April 10 and April 24 the patient's stool was examined four times with negative results, 

 bat on the latter date the stool consisted of much blood and mucus mixed with brown faecal 

 matter. There were present a few cysts of E. histolytica and a fair number of active amoebae, 

 some of which contained red blood corpuscles. Patient was given a course of emetin injections 

 of one grain a day for 12 days. The infection disappeared after four days' treatment/ 

 during which patient was kept in bed and placed on milk diet. Patient went to the 

 convalescent camp five days after treatment was finished, and five days later was again 

 passing cysts of E. histolytica and free amoebae. An infection of E. coli had also appeared. 

 Patient was re-admitted to hospital (19th General), and on May 25 a second 12-day 

 course of emetin was commenced (one grain injection each morning and grain by the 

 mouth in keratin-coated tabloid each night). Patient was kept in bed and placed on milk 

 diet during the treatment. The infection again disappeared, and patient was sent to the 

 convalescent camp on June 11, where E. histolytica cysts again appeared in the stool 

 10 days after the course of emetin was completed. The emetin courses had no effect 

 on the temperature or pulse-rate of the patient. 



CASE BALL, aged 36. Patient, who had not been abroad before, left England in 1915 

 for Mudros, where he remained nine months. He was transferred to Egypt, and on March 22, 

 1916, while acting as head cook at Orwa-el-Waska Hospital, he was taken ill with dysentery. 

 He had had three previous attacks of dysentery for which he had been in hospital. In Mudros 

 he had one injection of emetin (dose ?). When admitted to hospital on March 22, the stool 

 consisted of faecal matter and a large quantity of dark brown blood-stained mucus. The mucus 

 showed numerous large active amoebae, many of which contained red blood corpuscles. 



