208 The Philippine Journal of Science 1919 
leucocytes of various types, pus, and enormous numbers of ery- 
throcytes. Bacteriological examination for Bacillus dysenteriae 
was negative, but it should be noted that the bacteriologist did 
not receive a fresh stool. 
During the stay of the patient in the hospital the temperature 
was intermittent in type. There was a daily rise toward eve- 
ning, and a fall to the lowest point in the morning. The 
variations in temperature ranged between 36.5° C., and 38.25° C. 
The pulse varied between 100 and 125, and the respirations, 
between 30 and 40 to the minute. The bowel movements re- 
corded were as follows: March 9, four; March 10, four; March 
11 , seven; March 12, seven. 
The treatment given consisted of intramuscular injections of 
antidysenteric serum, purgatives, and stimulants. 
The patient failed to improve, but on the contrary grew 
steadily worse, and with the development of the pneumonic 
symptoms her condition became very serious. Notwithstanding 
this the parents, who were of the poorer class of Filipinos, 
insisted on taking the patient home. Against the strongly ex- 
pressed advice of the physicians in charge of the case they 
took the girl home on the morning of March 13, at which time 
she was virtually in a dying condition. It was learned through 
the social service department of the hospital that the child 
died a day or two later. Whether she succumbed to pneumonia 
or dysentery we cannot say. 
A specimen of the stool was sent to the department of path- 
ology of the hospital on March 12 . There it was examined by 
one of us (W. de L.) and found to contain swarms of flagellates 
of the trichomonad group.® The stool was liquid and contained 
considerable blood. A slight amount of mucus was found stick- 
ing to the bottom of the conta,iner. This is the type of stool 
quite characteristic of heavy flagellate infections we have seen, 
and has led us to suspect the presence of Trichomonas on occa- 
sions other than this. Microscopically, however, considerable 
detritus was found, such as leucocytes, and epithelial cells in 
various stages of disintegration which, of course, suggested the 
possibility of the presence of bacillary dysentery. We believe, 
nevertheless, that such evidence of inflammatory reaction oc- 
® We apply the term trichomonad as a common name for polymastigote 
flagellates having an undulating membrane, axostyle, and parabasal as 
Trichomonas, Tetratrichomonas and Pentatrichomonas. We employ it in 
the same sense as the properly employed term ameba as used by Schaeffer, 
but not as unhappily used as a generic name by some of the medical 
journals. 
