92 ^^6 Philippine Journal of Science im 



CHOLERA CASES 



In the 210 cases of cholera, the cholera vibrio was isolated from 

 both the intestinal contents and the gall bladder in 59.5 per cent 

 (125 cases), from the intestine alone in 34.2 per cent (72 cases), 

 and from the gall bladder alone in 5.7 per cent (12 cases) . Com- 

 bining these figures, we see that the cholera vibrio was isolated 

 from the intestine in 93.7 per cent of the cholera cases and from 

 the gall bladder in 65.2 per cent of the cholera cases. 



These figures emphasize the importance of the bacteriologic 

 examination of both the intestine and the gall bladder in cases 

 suspected of harboring the cholera vibrio. The number of cases 

 that would have been declared bacteriologically not cholera 

 following examination of the intestine alone is 5.7 per cent. It 

 is also seen that, in cholera cases, examination of the intestine 

 alone is better than examination of the gall bladder alone by 

 28.5 per cent. 



These facts are summarized in Table III. 



Table III. — Bacteriologic examination of 210 cases of Asiatic cholera. 



Per cent. 



Intestine + , bile+ 59.5 



Intestine + , bile— 34.2 



Intestine — , bile+ 5.7 



Intestine + 93.7 



Bile+ 65.2 



CHOLERA CARRIERS DETECTED POST MORTEM 



Among the 269 cases of which this paper treats, there were 

 detected 32 cases which were diagnosed as cholera carriers after 

 full consideration of all available clinical, anatomic, and bac- 

 teriologic data. In none of these cases was there anything clin- 

 ically or anatomically to indicate that they might have been chol- 

 era cases, with one exception. The exception was a poisoning 

 case with an enterocolitis, which aroused the suspicion of cholera 

 in the mind of the pathologist before the history was known. 



It is not possible for us to trace possible associations between 

 these carrier cases and known cholera cases. 



Considering these 32 cases bacteriologically we find that cho- 

 lera vibrios were found in both the intestine and gall bladder in 

 31.2 per cent (10 cases), only in the intestine in 25 per cent 

 (8 cases), and only in the gall bladder in 43.7 per cent (14 



