166 ANTI-ANAPHYLACTIC TREATMENT OF DISEASES 



Second series of injections under the same conditions as 

 the first, with this difference that at the beginning the dose 

 was very small, 0.1 c.c. 



Results. At the end of the second series of injections, the 

 plaques have completely disappeared. 



For five years the patient has been in very good health, 

 from every point of view. 



Observation 2. Urticaria with Phlyctenules.M.. L., aged 

 forty-two years. General condition fair. Declared "fit" for 

 active service at the beginning of the war. Discharged after 

 three months for incurable skin disease. 



The patient has lived for fourteen years in central Africa, 

 where beginning with the first year of his residence there, he 

 contracted a skin disease characterized by the appearance 

 on the whole surface of the body, but especially on the back, 

 of small, red phlyctenules with a small yellowish center. 

 This center exuded a small amount of pinkish liquid which 

 dried, leaving a red crust. Insufferable itching after the least 

 fatigue together with sweating. 



The patient has consulted many dermatologists, and has 

 followed without success all the treatments recommended, 

 among others, he has received several injections of his own 

 serum. One of the dermatologists he consulted told him 

 that his dermatosis was very similar to scabies. 



The bacteriologic examination of the patient's stools gave 

 approximately the same results as in the preceding case, and 

 the same treatment was applied with exactly the same result. 



The patient has never had a relapse, and has been in very 

 good health for four years. 



The second examination of his intestinal flora showed the 

 same germs as the first. 



These two observations taken at random among many 

 other similar ones suggest the following reflections : 



While the supposition was that one of the germs living in 

 the large intestine and contained in the fecal matter of our 

 patients must be the cause of their illnesses, we could not 

 assume a priori that all the germs seen by the microscope in 

 fresh or stained preparations of fecal matter, could share in 

 the cause to an equal degree. On the other hand, as we had 



