INDI \. 211 



turned inward so as to partially (ill the cavity. He lefl 

 the hospital cured in four months. 



RHINOSCLEROMA. 



The patient was an Eurasian, 21 years old, fireman by 

 occupation, resident in India since birth, spent most of 

 his time at Bhunda Ekhand, Jhansi. Admitted on July 

 30, suffering from most typical rhinoscleroma, affecting 

 nose, palate and pharynx. No history of any member 

 of his family ever having suffered from a similar com- 

 plaint nor has he ever seen the disease in any other 

 person. Three years ago he first noticed a small hard 

 pimple on the skin of the right side of the nose — about 

 the middle; at the same time lie suffered from occa- 

 sional attacks of epistaxis. The hemorrhage stopped 

 entirely after six months and has never recurred. The 

 growth slowly but steadily extended until the greater 

 part of his nose became affected, and then involved the 

 upper lip, soft palate and pharynx. Captain Cornwall, 

 I.M.S., isolated the bacillus, from which he made pure 

 cultures and also rhinosclerin, which was tried without 

 success. Large doses of carbolic acid and idoform 

 administered internally proved likewise useless. Par- 

 tial excision and applications of formalin, and more 

 recently the .-r-rays. have been tried, under, which treat- 

 ment the disease appears to have become stationary. 



There are no gynecologists connected with the Ma- 

 dras General Hospital, the attending surgeons being 

 in charge of all surgical cases regardless of sex. The 

 hospital has nine private rooms, for which the patients 

 are charged from 2 to 5 rupees a day (.64 to $1.60). 



Bubonic plague cases occasionally find their way to 

 Madras, but the sanitary precautions are so stringent 

 that the disease has never gained a foothold here. Every 

 stranger who arrives at Madras by boat or railway is 

 kept track of by the police for 10 days, the maximum 

 limit of the period of incubation of bubonic plague. 



Calcutta, India, Sept. 17, 1904. 



