APPENDIX 



189 



CASE EUSHFORTH, aged 33. Patient, who had not been abroad before, left England on 

 December 5, 1915, and came direct to Egypt, where he remained. On April 24, 1916, he 

 was admitted to the 15th General Hospital with a history of diarrhoea for nine days and the 

 passage of blood and mucus for two days. There was no previous history of dysentery. 

 The case was evidently one of a primary attack of amoebic dysentery. The stool contained 

 not only active free amoebae but also cysts of E. histolytica. It would appear from the presence 

 of the cysts that the patient had become a carrier and had then lapsed into the condition of 

 acute dysentery. Patient was given a course of emetin injections of one grain a day for 

 12 days. He was kept in bed on dysentery diet. The E. histolytica quickly disappeared, 

 but during the course an E. coli infection became evident, and within a fortnight of the 

 completion of the course the E. histolytica reappeared while patient was in the convalescent 

 camp. He was admitted to the Orwa-el-Waska Hospital and given a second course of emetin 

 for 12 days (one-grain injection each morning and grain in keratin-coated tabloid by the 

 mouth each night). Patient was kept in bed on milk diet. He vomited on only one occasion. 

 The E. histolytica infection again disappeared and did not recur during a subsequent control 

 of 57 days, the greater part of which was spent in the convalescent camp. The emetin 

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



