REFERENCES 



1955 



SUTIKA. 



Synonym. — The puerperal diarrhoea of Bengal. 



Under the above term Dr. Pearse, the Medical Officer of Calcutta, 

 gives an account of a chronic diarrhoea associated with fever which 

 causes a death-rate of 1-3 per cent, in the total number of registered 

 births in Hindu and Mohammedan puerperal women of all ages in 

 that city. 



The disease begins with diarrhoea some two or three weeks after 

 delivery, there being five to fifteen watery, frothy, fermenting 

 motions per diem without blood or mucus. Along with the diarrhoea 

 there may be loss of appetite and dyspeptic symptoms, rarely 

 vomiting, but no griping pains or abdominal tenderness. The 

 temperature is raised, and an irregular fever lasts throughout the 

 illness. There is no vaginal discharge; oedema of the feet is noted 

 as a late symptom. The course of the disease varies. Sometimes 

 it is rapid, and kills the patient in a few months; more usually it 

 lasts five to eight months, and less usually it continues for more 

 than twelve months. Towards the end the patient becomes weak 

 and emaciated, and dies of exhaustion. The case-mortality is not 

 known. 



The nature of this disease is obviously obscure, and requires 

 investigation. 



REFERENCES. 



Endemic Funiculitis. 



Castellani {1904-14). Ceylon Medical Reports. 

 Castellani (1908). Lancet, July. 



Castellani (1908). Annali Med. Navale, April and May. 

 Castellani (1909). British Medical Journal. 

 CouTTS (1909). Lancet. 



Goebel (1911). CUirurgie der Heissen Lander. 



Jones (1909). Lancet. 



Madden (1907). Lancet. 



Pfister (1909). Folia Urologica. 



Wise (1910). Journal of Tropical Medicine. 



Sutika. 



Pearse (1908). Journal of Tropical Medicine, November. 

 Robertson (1846). Edinburgh Medical and Surgical Journal, clxvii. 5b 

 (Puberty in Indian Women). 



