APPENDIX 



201 



CASE BAKER, aged 20. Patient, who had not been abroad before, left England in April, 1915, 

 and came direct to Egypt, where he remained. On April 4, and again on April 24, 1916, he 

 was found to be a carrier of E. histolytica during the routine examination of cooks in Mustapha 

 Camp. He gave no history of dysentery, but had had attacks of diarrhoea. Patient was given 

 a course of emetin for 12 days from May 2 (one grain injection each morning and J grain in 

 keratin-coated tabloid by the mouth each night). Patient vomited half an hour after the first 

 dose, but not afterwards. During treatment he was kept in bed and given milk diet. The 

 E. histolytica infection, which was not evident in the stool the day before treatment was 

 commenced, did not recur during a control of over one month after treatment. For the 

 last three weeks of the observation patient was in convalescent camp, where he performed 

 light duty. A large infection of lamblia, which had not occurred before, appeared soon after 

 the course of emetin was completed, and towards the end of the observation an infection 

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



CASE GRAHAM, C., aged 42. Patient, who had not been abroad before, left England in 

 August, 1915, and went to the Peninsula, where he remained till the end of the year, when he 

 was transferred to Egypt. On April 25, 1916, during the routine examination of 



