CASE REPORTS 171 



and sterilized by heat. This was a mixture of colon bacilli, 

 of Gram-positive diplococci and of Micrococcus tetragenus. 



Several minutes after the first injection into the left arm, 

 the patient felt "like a trembling," followed by a tingling 

 and itching in the whole left side of the body and immediately 

 afterward his respiration became easier. 



Improvement continued during the course of the treatment. 

 The patient can now (eighteen months after) go out and work 

 in bad weather without suffering therefrom, sleep is normal, 

 cough has completely disappeared. The general state is 

 better than it has been for a long time, the patient feels 

 younger. The attacks of asthma have not recurred for the 

 last eighteen months. Gastro-intestinal functions, often dis- 

 turbed previously have at the same time become completely 

 normal. 



Observation 11 ( Dr. Dalimier). Hay Asthma. Mi. J. L., 

 navy engineer. 



Family History. Mother died from cardiac rheumatism; 

 father died at seventy-nine from arteriosclerosis. Neither 

 parent suffered from asthma. Brother has slight and tem- 

 porary hay fever. Both maternal grandparents suffered 

 from hay asthma. 



Personal History. Scarlatina and whooping-cough. At 

 twelve years, first attack of hay asthma. Since then, every 

 year without exception, in the second fortnight of May, had 

 an attack. 



The minutest contact of a particle of hay is sufficient to 

 bring on asthma. Wheat and barley have the same action, 

 as also grapevine, but to a lesser degree. Flowers of any kind 

 have no influence. Honey, however, it must be noted, some- 

 times produces some respiratory and gastro-intestinal dis- 

 turbances. Never any attack on the ocean. 



The attack is characterized by a very pronounced oculo- 

 nasal catarrh, coryza and headache; then, after some days, 

 dyspnea appears, asthmatic in type, very troublesome, 

 especially at night. The attack lasts two to three months, 

 with alternate increases and decreases, and leaves behind it 

 an early morning dyspnea until the autumn. 



Apart from this hay fever, this patient enjoys good health. 



