— 639 — 
in such general use that it might with advantage be retained and 
applied, in its modified form, as above indicated. Apart from 
what bas been said there is other evidence pointing to this case 
berner one of Leishman nodules. 
1. The condition is known to occur in Egypt. 
2. Exposed parts of the skin are chiefly affected, the Egyp- 
tian fellah being accustomed to work stripped to the waist. 
3. The coagulability of the blood is increased; markechy so. 
Carter 19 , however, points out that in oriental sore more ihari 
one person of a family or house hold is rarely or ever attacked 
while, as already mentioned, our second case, about to be des- 
cribed, appears undoubtedly to hâve derived his infection from 
the first, two of whose family also suffered from the disease. 
Gros 20 who has published an account of four cases on the Al- 
gerian littoral is of Carter’s opinion. In no instance was infec¬ 
tion transmitted from his cases to those in contact with them. 
How close this contact is likely to hâve been aiwone conversant 
with Eastern customs and usages knows. Gros concludes that 
(( le bouton d’Orient paraît donc peu contagieux ». 
The account of our second case is therefore likely to be ail the 
more interesting. 
Case II. Va ni Suleiman. 
Age 21. Soldier in N° 4 company, 16 th. Battalion, Egyptian Army, an 
Egyptian fellah from the village of Ben Abied in the Mudirieh of Minieh, 
Upper Egypt. He is a sturdy son of the soil, well nourished and more in¬ 
telligent than his compatriot. He enlisted on the same day as did Case i and 
for the last 5 months the two men hâve been eating together, and sleeping 
side by side while they are in the same section of the same company every 
parade. Patient déniés having ever worn the clothes or boots Case 1. 
Admitted oct. 30 th. with growths very like those in Case I situated on his 
left thigh, right knee and left foot. On admission he was noticed also to hâve 
a small abscess below the outer canthus of his left eye. This contained pus 
and was evacuated. It may be said at once that no Leishmania were fourni 
in the pus. 
Family history. — Unimportant. Nothing of interest. 
Personal history. — Patient States that as a small child he was possessed 
of an evil spirit for a year otherwise has always been healtby. No vene- 
real history obtainable and no signs of venereal disease. 
Ilistory of présent illness. — The first growth on the anterior surface of 
the left thigh appeared 4 months ago i. e, one month after he came into 
contact with Case I. A second lesser growth, now absorbed into the first 
appeared about the same time as did a third growth, accessorv to the fused 
first and second. A fourth on the inner surface of the right'knee is three 
months old and so is a fifth on the dorsum of his left foot about half an 
