APPENDIX 



207 



May 2 he came to Alexandria and was admitted to hospital for dysentery on May 17. Thence 

 he went to convalescent home, and on July o was again admitted to hospital for the same 

 disease. He was found to he passing stools with blood and mucus containing numerous active 

 amoebae, many of which had included red blood corpuscles. There was also a large larnblia 

 infection. There had been no previous emetin treatment. On July 9 was commenced a 

 12-day course of emetin (one grain injection each morning and grain in keratin-coated tabloid 

 by the mouth at night). There was vomiting only on one occasion after the emetin. The 

 patient was kept in bed on milk diet. The amoebae disappeared after the second day of treatment 

 while the lamblia infection persisted. This case was only controlled for one week after 

 treatment, but it is of interest as an illustration of a case in which cysts of the amoebae 

 were never found. There was no relapse during the one week's control. The emetiu did 

 not affect the patient's temperature or pulse-rate. 



CASE WILKINSON, E., aged 20. Patient, who had not been abroad before, left England in 

 May, 1916, and came direct to Egypt, where he remained till September, when he returned to 

 England. He came back to Egypt again in January, 1916. Patient, who had never had 

 dysentery before, was admitted to hospital with this disease on June 17, and was found to be 

 passing stools containing blood and mucus and active amoebae with included red blood corpuscles. 

 He was found to have also an E. coli infection and later a tetramitus infection. He was given 

 a 12-day course of emetin (one grain injection each morning and J grain in keratin-coated 

 tabloid by the mouth at night). There was vomiting on only one occasion as a result of the 

 treatment, during which patient was kept in bed on milk diet. As an E. coli infection was 

 present and cysts of E. histolytica did not occur, it was difficult to judge the action of the treat- 

 ment on the E. histolytica infection. However, cysts of E. histolytica were found for the first 

 time three weeks after the course was completed. The emetin produced no alteration in the 

 patient's temperature or pulse-rate. During the control of this case an interval occurred 

 between the 23rd and 37th days owing to an accidental discharge from hospital. 



