i886 DISEASES OF THE RESPIRATORY ORGANS 



In certain cases tartar emetic, especially if combined with arsenic, is 

 ef&cacious. The following formula may be used: — Tartar emetic, ^-^ grain; 

 liquor arsenicaUs, 2-3 minims; codein, ^ grain; glycerine, i drachm; syrup of 

 tolu, I drachm; aquae chloroformi, i drachm. One ounce to be taken three 

 times a day well diluted. 



Occasionally in cases with very dry cough, potassium iodide may be found 

 useful; for instance: — Tartar emetic, ^-J grain; potassium iodide, 5 grains; 

 bicarbonate of soda, 10 grains; glycerine, i drachm; syrup of tolu, i drachm; 

 chloroform water, i ounce. One ounce to be taken three times a day well 

 diluted with water. 



Dalimier recommends injections of camphorated oil with gomenol in acute 

 cases, and Liquor Fowleri in cinchona wine in chronic cases. 



TROPICAL BRONCHOMYCOSES. 



General Remarks. — Affections of the bronchi and lungs due to 

 fungi are common in the tropics, though very little attention has 

 been paidjto them till recently. These conditions may be due to a 

 variety ofiungi, and may be classified in several groups: — 



1. Due to fungi of the genus Monilia Persoon, 1797 ; Oidium Link, 

 1809; Saccharomyces Meyen, 1833; Willia Hansen, 1904; Cryptococcus 

 Gilchrist and Stoker, 1896; Coccidiodes Rixford and Gilchrist, 1898. 



2. Due to fungi of the genus Hemispora Vuillemin, 1906. 



3. Due to fungi of the genus Nocardia Toni and Trevisan, 1899 ; 

 Cohnistreptothrix Pinoy, 191 1. 



4. Due to fungi of the genus Aspergillus, 1729; Sterigmatocysiis 

 Cramer, 1869 ; Penicillium Link, 1908; Mucor Micheli, 1729; 

 Rhizomucor Lucet et Costantin, 1900 ; Lichtheimia Vuillemin, 1904. 



5. Due to fungi of the genus Sporotrichum Link, 1809. 



For description of above fungi the reader is referred tOjChapters 

 XXXVIL, p. 967, XXXVIIL, p. 978, and XXXIX., p. 1035. 



The symptoms are somewhat similar, whichever fungus is the 

 aetiological factor. In mild cases there are signs of slight bronchitis 

 with muco-purulent expectoration in which the fungi are found. 

 In severe cases the patient presents all the symptoms of phthisis, 

 with hectic fever and hsemorrhagic expectoration. 



Mild cases may get cured spontaneously; but they are often 

 benefited by potassium iodide. We will describe in detail the forms 

 of bronchomycosis which has been more completely investigated. 



Bronchomoniliasis. 



Synonyms.- — Broncho-alveolar moniUasis (Castellani), Broncho- 

 blastomycosis pro parte. 



Definition. — An infection of the bronchial mucosa due to fungi of 

 the genus Monilia Persoon, 1797. 



Historical.' — Since 1905 Castellani has published many cases, 

 divisible into a mild type and a severe type of the disease, and has 

 described several new species of Monilia. Castellani's work has 

 recently been confirmed by Pijper, Pantin, and other observers. 

 Magrou has recorded a case in France in 1916. 



