Séance du io Octobre 1917 
757 
Clinical History. — The patient is a young British Offîcer who 
was perfectly healthy prior to going to France with the British. 
Expeditionary Force in August 1914 - On August 6 th., 1914 he 
was inoculated against the Bacillus typhosiis. He was présent at 
ail the bottles in uhich the British Expeditionary Force took 
part from Mous to the fîrst battle of Ypres at which he was seve- 
rely wounded and was sent to England. 
During convalescence from lus wounds he contracted Measles 
and Broncho-pneumonia, and, as a resuit, lost weight and 
became nervous. 
From March till July 191 b lie worked with the army in England 
and gradually recovered his health. Directly after tliis he was 
ordered to go to the Sud-an via Cairo where he contracted 
di arrhoea which lasted for four days. While on board ship, en 
route for Cairo, he was again vaccinated against Typhoid Fever. 
He arrived in Khartoum in August 1915 and here heremained 
forthree months in good health, after which he was transferred 
to El Obeid and proceeded on the successful Darfur Expédition 
returning to El Obeid in excellent health in August 1916 . 
In January 1917 lie was transferred to Omdurman and remai- 
ned quite fit till February 1917 when he began to lose weight 
and became easily tired and sulfered from periodical attacks of 
pain in the abdomen associated with diarrhoea. These attacks 
only lasted two days at a tirne and were stopped by the action of 
Chlorodyne. 
Early in July 1917 he camped out at Kerreri and the next day 
he was seized with severe pain in the abdomen associated with 
diarrhoea and this continued with only slight and occasional 
improvements till July 20 th. when we fîrst saw him. 
At this time he looked exceedingly il 1, in fact he resembled 
in many ways an ambulatory case of Typhoid Fever. His tempe- 
rature was ioi° F. in the evening and about 99 0 F. in the mor- 
ning. His p ulse rate was about 90 per minute, his biood pres¬ 
sure low, and he complained ofa sensation of general weakness 
and of vague pains ail over the abdomen which were accentua- 
ted by walkingand slill more by riding. His longue was furred 
in the centre but clean at the sides. His organs were found to 
be healthy and there was 110 enlargement of the liver or spleen 
and 110 malarial parasites to be seen in the blood but the was a 
leucopenia and a slight mononuclear increase. He passed a small 
5i 
