XIV, 1 Lantin: Treatment of Typhoid Fever 29 
Concomitant disease . — On examining these thirty cases, two 
cases of tuberculosis were found. One was a case of incipient 
pulmonary tuberculosis that later became active during the 
course of the disease. It seemed that vaccine treatment ad- 
ministered intravenously had done harm to the patient ; because, 
after the injection and consequent shaking up of the body, it 
was noticed that traces of blood were found in his sputum. This 
might be a mere coincidence, but it should be regarded with 
suspicion. It seems advisable to exercise prudence and caution 
in the use of vaccine for patients suffering from pulmonary 
tuberculosis. The other case was a tuberculous cervical aden- 
itis. In this particular case vaccine injection was not followed 
by any untoward effects. 
Mortality . — The mortality in these thirty cases is 20 per cent, 
a very high rate. It should be remembered, as already stated, 
that these patients belonged to the laboring class who did not 
realize the advantage of early hospitalization. Consequently 
they had remained in their respective homes without adequate 
treatment and care, only coming to the hospital at a time when 
medical attention would be of little avail because of the advanced 
stage and seriousness of the cases. In fact, there were three 
cases in which I considered the outlook on admission as hopeless 
on the grounds of marked toxsemia and pulmonary complica- 
tions. By excluding these three hopeless cases, the mortality 
is reduced to 10 per cent. Autopsy findings will reveal the 
causes of death, as shown in the following protocols : 
Autopsy findings (sensitized intravenous treatment) . 
File No. 1957: D. H. 
Anatomic diagnosis: Bilateral lobar pneumonia with abscess and 
gangrene of the lung; typhoid enteritis; acute parenchymatous 
degeneration of the viscera; chronic fibrous pleurisy. 
File No. 1830: V. C. 
Autopsy findings: Typhoid ulcerated enteritis, healing; acute haemor- 
rhagic bronchopneumonia; acute pyonephritis ; parenchymatous de- 
generation of the liver; fatty degeneration of the heart; acute 
myocarditis. 
File No. 1875: S. C. 
Anatomic diagnosis: Intestinal haemorrhage; acute ulcerative entero- 
colitis, typhoid; acute splenitis, mesenteric; parenchymatous degen- 
eration of the heart and liver; acute parenchymatous nephritis 
with some interstitial nephritis; focal necrosis of the liver; emacia- 
tion; ascariasis; trichuriasis. 
File No. 1985: F. J. 
Anatomic diagnosis: Beginning lobar pneumonia, right; typhoid 
enteritis; acute parenchymatous nephritis; acute parenchymatous 
degeneration of the heai't and liver; calcareous nodule in the left 
lung; ascariasis. 
