192 



HUMAN INTESTINAL PROTOZOA IN THE NEAR EAST 



CASE McGiNTY, aged 35. Patient, who had previously been in South Africa, where he had 

 dysentery twice, left England on September 21, 1914. He went to the Peninsula and remained 

 there five weeks till he was invalided for dysentery. He was given no emetin. He came to 

 Egypt and again had dysentery in Mustapha Camp. On March 24, 1916, during the routine 

 examination of men in this camp he was found to be infected with E. histolytica, E. coli and 

 lamblia. Later, after treatment, a tetramitus infection appeared. Patient was kept under 

 observation till March 28, when a course of emetin (one grain a day for 12 days by the mouth) 

 was commenced. Patient vomited a quarter of an hour after the first dose but not afterwards. 

 After the second dose the infections of E. histolytica, E. coli and lamblia disappeared, but the 

 E. coli and lamblia recurred later during the control of over one month, the last three weeks of 

 which the patient spent in the convalescent camp. During treatment he was not kept in bed 

 and was on a chicken diet. The emetin had no effect on the temperature or pulse-rate. 



CASE HOWARTH, E., aged 23. : Patient, who had not been abroad before, went to the 

 Peninsula in July, 1915. He was there seven months and suffered from dysentery, for which 

 he received 12 injections of emetin. He was invalided home, was then transferred to 

 Egypt in January, 1916, and was found to be a carrier of E. histolytica on March 15 during the 

 routine examination of men in the Mustapha Convalescent Depot. He was kept under observa- 

 tion till March 25, when he was given a course of emetin by the mouth (one grain a day in tine, 

 opii for 12 days). The patient took the emetin without vomiting and during treatment he 

 was not kept in bed and was given chicken diet. The E. histolytica disappeared after the 

 second dose and did not recur during a control of about five weeks, the last four of which were 

 spent in the convalescent camp, where patient seems to have contracted an E. coli infection. 

 The emetin had no effect on the temperature or pulse-rate. 



