3 88 
THOMPSON YATES LABORATORIES REPORT 
Summary of the Clinical Features 
Sex of patients : Male, 1 2 ; female, 2 
Average age : (13 cases reported), 27-69 years. 
Onset and Course: Typhoid-like, 10 ; atypical, 4. 
Roseola : Present in 11, absent in 2, doubtful in 1. 
Spleen : Palpable in 8, not felt in 6. 
Character of stools : Diarrhoea in 6, constipation in 8, not reported in 1. 
Average duration : (13 cases reported), 28 days. 
Termination : By lysis, 1 2 ; by crisis, 2. 
Relapse : In 2 cases. 
Fatal result : None. 
Complications : — 
Haemorrhage from bowels . 1 
Haemorrhage from nose 
Delirium 
Arthritis 
Tonsillar ulcer 
Bronchitis 
1 
2 
1 
1 
7 
Sequelae : Only serious in No. 2 (costo-chondral osteomyelitis). 
Four cases are set down as atypical ; two of Kurth's, 23 because of a critical fall 
in temperature ; two others of the same writer's, because of their remarkably inter- 
mittent temperature. In fact, Kurth regarded his case ' Kru ' as one of gastritis 
until the patient's serum gave a positive reaction with the bacillus isolated from case 
' Ahl,' whose illness ran a ' typically ' typhoid course. 
The fact of recovery in every case is noteworthy ; especially so in two of 
SchottmullerV 6 cases, for one of them was an alcoholic, and the other a man of 
sixty. 
The record as to the character of the stools is much like that of a series of 
true typhoid cases, but markedly different from that of cases of meat-poisoning caused 
by bacilli of the same group (B. enteritidis group). Severe diarrhoea and collapse are 
features of the latter. It is a remarkable fact that a group of organisms should pro- 
duce on the one hand, in the cases of meat-poisoning, such a marked general enteritis 
and toxaemia, with an incubation period of but a few hours, and an illness of but a 
few days ; and on the other hand, as in the present series, a slow infection of typhoid- 
like course. 
The bacteriological findings in the fourteen cases are recorded in Table II. 
