HUMAN INTESTINAL PROTOZOA IN THE NEAR EAST 



SECTION III. 



CASE LYALL, aged 28. Patient, who had not been abroad before, left England in May, 1915, 

 and went to the Peninsula, where he remained six months. He was then transferred to Egypt, 

 where, on April 26, during the routine examination of men in Mustapha Camp, he was found to 

 be a carrier of E. histolytica. He had also an infection of E. nana. There was no history 

 of dysentery. Patient was given a 12-day course of emetin. From May 2 (one grain injection 

 each morning, and grain in keratin-coated tabloid by the mouth each night). During the 

 treatment patient was kept in bed on milk diet. There was no vomiting. The E. histolytica 

 cysts disappeared from the stool, and did not recur during a control of over one month, the 

 greater part of which time patient spent in the convalescent camp on light duty. The emetin 

 had no effect on patient's temperature or pulse-rate. The E. nana infection also disappeared 

 during the emetin course, and did not recur. 



CASE PALMER, aged 26. Patient, who had never been abroad before, left England it 

 February, 1916, and came direct to Egypt. On April 30, during the routine examination of men 

 in Mustapha Camp, he was found to be a carrier of E. histolytica. He had also an infection o: 

 E. coli, lamblia, and tetramitus. There was no history of dysentery. Patient was kept undei 

 observation till March 6, when he was given a course of emetin for 12 days (one grain 

 injection each morning, and | grain in keratin-coated tabloid each night). Patient vomited on 

 the second day after taking the tabloid, but not subsequently. During treatment he was kepi 

 in bed on milk diet. All the infections disappeared during treatment, but the E. coli am 

 tetramitus returned soon after. There was no return of the E. histolytica or lamblia infectior 

 during a control of over one month, the last three weeks of which patient spent in the 

 convalescent camp, where he performed light duty. The emetin had no influence on the 

 patient's temperature or pulse-rate. 



