XIV, 1 Lantin: Treatment of Typhoid Fever 31 
controls are grouped conjointly with the cases that are subjected 
to the intravenous treatment with sensitized vaccine. 
These control cases were subjected to classical treatment, 
which consists in the application of general hygiene and care; 
the administration of light, nourishing food; the application of 
hydrotherapy, either cold or tepid; and absolute rest. As an 
accompaniment to this treatment the patient may be given 
cardiac stimulation, soda enemata (1.5 per cent solution) every 
other day, and occasional, small doses of urinary antiseptics. 
The patient may be given 1,000 cubic centimeters of proctocly- 
sis daily of normal saline solution and should be encouraged 
to drink plenty of water as an aid to disintoxication. 
This series consists of twenty-one cases. Their clinical 
grouping is shown in Table VI. 
Table VI. — Condition of patients before treatment.^ 
Cases. 
Severe and toxic 
6 
Severe and nontoxic 
11 
Mild 
4 
Total 
21 
In the sixteen cases remaining after five deaths are excluded 
the average duration of the disease was 27.7 days, while in the 
cases treated with sensitized vaccine, as previously stated, it 
was 24.1 days. Gay, (10) in using similar treatment, found 
that the average duration of the disease was 27.6 days. 
McCrae,(33) in analyzing fifteen hundred cases of typhoid, found 
that the average duration was thirty-one days. 
Complications . — Out of these twenty-one cases there were 
eight cases that developed complications, two of which showed 
them on admission. Table VII shows the variety of the com- 
plications : 
Table VII. — Complications in eight cases of typhoid fever. 
Cases. 
Lobar pneumonia (present on admission) 2 
Bronchopneumonia 3 
Perforation 1 
Intestinal hsemorrhage 2 
Total 8 
In connection with these complications, it is interesting to 
compare the complications that developed only during vaccine 
treatment v/ith those that appeared in the controls as shown 
in Table VIII. 
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