186 



HUMAN INTESTINAL PROTOZOA IN THE NEAR EAST 



Days 



63 

 64 

 65 

 66 

 68 

 69 

 70 

 71 

 72 

 73 

 74 

 76 



Treatment 



FINDINGS 



E.h.c. 



E.f. 



Tet.c. 



Tetf. 



Trich. 



I.e. 



Stool 



B.sf. 

 B.uf. 

 B.uf. 

 B.uf. 

 B.uf. 

 B.uf. 

 B.uf. 

 B.uf. 

 B.uf. 

 B.uf. 

 B.uf. 

 B.uf. 



CASE BARRIE, D. W., aged 43. Patient left Australia in December, 1914, and was eight 

 months on the Peninsula where he had dysentery, for which he received eight injections of 

 emetin (dose ?). In February, 1916, patient, who had come to Egypt, was in hospital for 

 dysentery. On April 4 he was again admitted for dysentery, and was passing stool consisting 

 of blood and mucus with active amoebae. On the same day a course of emetin by the mouth 

 was commenced (one grain a day for 12 days). On the fifth day of treatment cysts of 

 E. histolytica were found ; these persisted all through the treatment by the mouth, and when 

 12 doses had been given a course of emetin injections was commenced (one grain a day 

 for 12 days). The E. histolytica infection disappeared two days before the end of this 

 course, but they appeared again within a week. During the second course of emetin a tetramitus 

 infection manifested itself. The two courses of emetin had no effect on the temperature 

 or pulse-rate. During the first course of emetin the patient was in bed on milk diet. During 

 the second course he was not kept in bed and was on chicken diet as actual dysenteric 

 symptoms had disappeared. An E. coli infection appeared five days after patient went 

 to the convalescent camp. 



CASE SMITH, C., aged 27. Patient, who had previously served in South Africa and China, 

 left England in March, 1914, for Egypt, where he remained till April, 1915, when he went to 

 the Peninsula. He was there for seven months, and had his first attack of dysentery in 

 November, for which he was invalided to Egypt. On the ship he was given emetin for eight 

 days (two injections a day: dose ?). He was admitted into hospital in Cairo, and given a 

 further course of emetin for seven days (one injection a day : dose ?). Still with some dysenteric 

 symptoms, patient was sent to a convalescent camp, where he was given a third course of emetin 



