APPENDIX 



209 



SECTION V. 



CASE GILDEL, H., aged 20. Patient, who had not been abroad before, left England in 

 June, 1915, and spent four months at Anzac and Cape Hellas. He had diarrhoea with blood 

 and mucus while there. He had no emetin. He came to Egypt towards the end of 1915, and 

 jduring the routine examination of men in Camp A he was found to be passing a fluid stool in 

 which were large numbers of tetramitus with lamblia and free amceba\ The amoebae turned 

 out to be E. coli, and the three infections persisted in spite of attempts to get rid of them by 

 [means of emetin and /5-naphthol. The case is of interest in showing the irregular occurrence 

 of the flagellates in the stool. The patient was given a course of emetin by the mouth 

 grain a day for 12 days), and later a course of /8-naphthol 15 grains t.d.s. for 12 days. 

 The emetin had no effect on the temperature or pulse-rate, and did not produce vomiting. 

 The patient was not kept in bed, and was given chicken diet. 



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