NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
229
Report giving details of cases treated by
Lustig's Serum.
No. 1279 OF 11TH JULY 1900.
To THE MUNICIPAL COMMISSIONS«.
Sir,—I have the honour to submit the following Report on cases of Plague
treated with Prof. Lustig's sorum at the Arthur Road Hospital, during Juno
1900 :—
1. There were only 16 admissions from Plague, and of these 8 received
the serum treatment, alternately with a similar number treated by
ordinary methods.
2. The serum eases were divided into 2 series, and the results of both
together with those of their controls, were as follows :—
Series.
XXXIIJ ...
XXXTV ...
12 (1st bleeding).
Total ...
Serum Cases.
No.
7
Died.
0
1
1
7
Died.
]
7
0
]
1
3. Thus out of the 8 Serum eases, 5 died and 3 recovered, whereas of
"the Control, 7 died and 1 recovered.
4. The former included 3 moribunds and the hitter 4.
5. Tables giving the details of the cases treated with the Serum have
been appended to the report as usual.
J have, &c.,
N. H. CHOKSEY, M.D.,
Special Assistant Health Officer.
58
SERIES XXXIII.—HORSE No. 12 (1st bleeding).
General
No.
670
Serial No.
10
Date of
admission.
1900.
4th June
Names.
Pardun Ramjee
Age.
32
Sex.
m
Caste.
Hindu
Duration of
Disease.
4 days
...
Bubo.
Double Inguinal ...
Quantity
injected.
210 c.c.
Died.
Recovered,
Recovered.
REMARKS.
231
SERIES XXXIV.—HORSE No. 9 (2nd bleeding).
General No.
672
673
674
675
676
677
678
Serial No.
1
2
3
4
5
6
7
Date of
admission.
1900.
11th June.
16th ,,
17th ..
18th ,.
19th ,.
21st ,.
26th „
Names.
Girdharilal...
J3alee Abdulla
Anoo Hiroo
Jaibai Ramkrishna ..
Unknown ...
Husan Buxao
Erappa Pochati ...
Age.
25
12
22
35
20
23
60
Sex.
111
f
...
111 ...
f
...
f
...
111
1.1
...
Caste.
Hindu.
Musalman.
Hindu.
,, ...
...
Musalman.
Hindu.
Duration of
Disease.
3 days
6 „
5 ,,
3 ,,
Bubo.
Right Femoral and
Left Axillary.
Double posterior cer-
vical with Infiltra-
tion.
Right Popliteal ...
Double posterior cer-
vical with Infiltra-
tion.
Double Axillary ...
Left Inguinal
Right Femoral
Quantity
injected.
60 c.c.
120 „
160 .,
95 „
200 „
60 „
150 „
Died.
14-6-1900
...
19-6-1900
21-6-1900
22-6-1900
27-6-1900
Recovered.
Recovered,
Recovered.
...
REMARKS.
Moribund ; died 51/2 hours
after admission.
Moribund ; died 12 hours
after admission.
Death from heart failure
2 days after admission.
Moribund ; died 141/2 hours
after admission.
Cold and collapsed when
admitted : died 361/2 hours
after admission.
232
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General
No.
G79
680
681
682
Serial No.
8
9
10
11
Date of
Admission.
1900.
8th July
20th .,
22nd ,.
25th „
SERIES XXXIV.—HORSE NO. 9 (2nd Bleeding), to be completed.
Names.
Sukhti Khusal.
Pandoo Jairam.
Bhimya Chotu.
Suntu Dhnnu...
Age.
9
18
45
20
Sex.
f ...
m ...
171 ...
f
...
Caste.
Hindu.
., ...
Duration
of illness.
14 days
5 .,
5 „
1 „
Bubo.
Right femoral.
Left axillary
with infiltra-
tion
Do.
...
Left femoral.
Quantity
injected.
10 c.c.
290 „
250 .,
80 .,
Died.
25-7-1900
Recovered.
Recovered.
Recovered.
Recovered.
REMARKS.
Death from
gradual heart
failure four
days after
admission.
59
234
. I have the honour to submit the following 'report on cases of plague treated
with Professor Lustig's Serum at the Arthur Road Hospital from August to
December 1900 :—
1. The alternate system of treatment, which had been adopted since May
1899, in order to test the efficacy of the Serum on îi statistical
basis, was continued up to the end of July 1900. During this
period 484 cases \vere treated with the serum alternately with an
equal number treated by ordinary methods. The recovery rate of
the serum cases was 32*03 per cent, as against 20'46 per cent, in
the non-serum cases. The difference, therefore, in favour of the
former was 11*57 per cent, which is equivalent to an increase in
the recovery rate by 56 per cent., or to put it in another way, if
out of a given number of plague patients 100 recover under
ordinaiy treatment, the same number if treated with the serum
would give 156 recoveries.
2. On the completion of the above observations instructions were issued
by the Municipal Commissioner to abandon the alternate method
and to use the serum in suitable cases only. But as the number of
admissions was limited, during the period covered by the present
report, it was not found feasible to select the cases, and during
some months all the patients admitted were placed under the serum
treatment.
3. There were 37 admissions only ; 26 of whom were treated with the
serum, and 11 by ordinary methods ; of the former 19 died and
7 recovered, whereas there was not a single recovery in the latter.
4. The following table gives the particulars for the period month by
month :—
1000.
September
Total ...
Total.
Admis-
sions.
4
11
5
4
13
37
Scrum Cases.
Xo.
4
9
5
...
8
26
Died.
3
G
4
...
G
19
Hc-
co vercd.
1
3
1
...
2
7
2îon-Serum Cases.
No.
...
2
...
4
5
11
Died.
...
2
...
4
5
11
Re-
covered
...
...
»••
• ••
• *•
...
5. A statement showing the details of the patients treated with the serum
is appended herewith as usual.
I have, «fee.,
N. H. CHOKSY, M. D.,
Special Assistant Health Officer.
1
2
3
4
5
6
7
8
9
10
11
12
Date of admission
1900.
1st August
10th „
31st „
31st „
6th September ..
8th
„
10th
,.
14th
15th
„
5th
8th
8th
Names.
Shaik Cassum ...
Bhudia Mnkan
Unknown
Oomer Veena ...
Subrana Hari ...
Chima Govind ...
Ranchor Nagar ...
Vasanbi
Annapurnabai Luxi-
mon
Mary Luisa
Joghodli Daya ...
Jairam Nagoo ..
Age.
35
25
25
30
30
20
15
20
55
9
25
35
Sex.
m
m
m
m
m
f
m
f
f
f
m
m
Caste.
Mussalman
Hindu ..
Do.
..
Mussalman
Hindu ..
Do.
..
Do.
..
Do.
...
Do.
...
Christian..
Hindu ...
Do.
...
Duration.
4 days ..
2
3
7 „
..
7 „
..
2
2
2 „
...
2
2
Bubo.
Double femoral ..
Eight inguinal ..
Left inguinal & ilia
Left axillary wit]
infiltration nurosb
on left loin.
Left inguinal
Left axillary
flight femoral
Left inguinal
light femoral
Left inguinal and
femoral,
Left femoral and
inguinal.
Right femoral
Quantity
injected.
220 c.c.
100 .,
100 „
100 „
100 „
400 „
270 „
350 „
200 „
60 „
300 „
150 „
Died.
...
10-8-1900
1-9-1900
31-8-1900
8-9-1900
12-9-1900
...
...
16-9-1900
16-9-1900
23-9-1900
20-9-1900
Recovered.
Recovered.
...
...
...
...
Recovered.
Recovered.
...
REMARKS.
Moribund ; died 7 hours after admission.
Moribund ; unconscious on admission;
serum injected 6 hours after admission
for observation ; died 19 hours after
admission.
Moribund ; died 9 hours after admis-
sion; secondary pneumonia; serum ad-
ministered for observation.
Death from secondary
stuptocaceus
infusion, oedema of lungs.
Death from gradual heart failure.
Plague and Malaria,
Death from gradual heart failure.
Death from sudden heart failure 14
hours after admission.
Death from heart failure and secondary
pneumonia,
Death from heart failure and secondary
pneumonia.
235
286
No
13
14
15
16
17
18
10
20
21
22
23
24
25
26
Dale of admission.
1900.
21st September ..
1st October
5th
6th
„
22nd
26th
„
12th December ...
12th
„
15th „
15th
„
18th
„
25th
30th
„
30th
Name.
Vishnu V. Dikshit
Girdhardas Bader-
das
Antoo Narayen ..
Santan Fernandes
Chagan Fakeera ...
Roojee Naikoo
Tom Francis Corrsa
Mary Decunha ...
Tookaram Luximo:
Pedas Rozario
Gita Dhondoopani.
Mathura Bapooji...
\Ianoo Babaji
Khima Ladoo
Age.
20
25
20
80
11
20
45
22
45
35
25
30
20
25
m
m
m
m
m
m
m
f
m
m
f
m
m
Caste.
Hindu ..
Do,
..
Do.
...
Christian ...
Hindu ...
Do.
...
Christian ...
Do.
...
Hindu ...
Christian ...
Hindu ...
Do.
...
Do.
...
Do.
...
Duration.
3 days ..
3 „
..
8 „
..
8 „
..
3
2 ,.
...
2 „ ...
2 „ ...
5 „
...
4 „
...
4 „
...
4 „
...
8 „
...
2 „
...
Bubo.
Right inguinal
Left femoral
Left femoral and
inguinal.
Left inguinal
Left femoral, in-
guinal and iliac.
Infiltration
left
femoral.
Left femoral
Right femoral
Left posterior
cervical.
Right inguinal and
left femoral.
light inguinal and
iliac.
Right femoral and
inguinal.
Left inguinal
Right femoral
Quantity
injected.
250 c.c.
100 ,.
180 ..
300 „
210 ,.
100 „
250 „
225 „
300 „
250 „
225 „
250 „
...
275 „
Died.
...
1-10-1900
6-10-1900
14-10-1900
27-10-1900
16-12-1900
14-12-1900
18-12-1900
20-12-1900
...
28-12-1900
...
2-1-1901
Recovered.
Recovered
...
Recovered,
...
...
...
...
...
...
...
...
REMARKS.
Died 7 hours after admission; heart failing
when admitted.
Death from gradual heart failure.
Died 8 days after admission from
stuptocaceus infection.
Died 221/2 hours after admission ; a mixed
case of plague and relapsing fever.
Septicenric Plague ; death from oedema of
lungs.
Death from gradual heart failure.
Do.
do.
Do.
do.
Death from gradual heart failure.
Death from gradual heart failure.
238
and even intravenous injection had but a temporary effect. So
rapid was the multiplication of the plague bacilli in the blood that
even to intravenous injections within eight hours could barely check
their enormous growth. The blood stream in these cases became
virtually a huge culture medium, propagating the bacilliindefinitely
—a process in which no amount of serum could overtake the rapidity
of their multiplication. And some idea of the nature of this blood
infection can be formed when it is stated that from a single drop
of blood as many as 300 colonies of plague bacilli were grown, each
colony consisting of thousands of such germs. The number of such
colonies varied in different cases from 3 or 4 to 300 in a single
drop of blood. The serum-treated cases having demonstrated
the above facts, a systematic blood examination of all cases has
been undertaken subsequently, and at the date of writing this
report no change in the type of cases can be reported. In
concluding this part of the report I must express my obligations to
Drs. Mayr and Berestueff for their cordial co-operation and
assistance not only in the examinations of the blood but also in
making intravenous injections and other observations in the
hospital wards.
3. The number of patients admitted during the month was 48. Lustig's
serum was used in 21 cases. As we had a stock of Roux's serum
(from the Pasteur Institute, Paris) it was considered advisable to
treat a few cases with it in order to compare its efficacy with the
former, and hence three cases were injected. Professor Gajjar's
Liq. lodi. Terchloride was applied in 4 cases. Of the rest,
4 patients were admitted in a convalescent or semi-convalescent
condition and required no specific treatment and 16 were either
moribund or semi-moribund in whom life was prolonged by cordial
and other stimulants.
4. The following table shows in detail the results in these cases :—
Lustig's serum
...
Professor Gajjar's Liq. lodi. Terchlor. ...
Moribund and semi-moribund
Total ...
21
3
4
4
16
48
Died.
12
1
3
16
32
Recovered.
9
2
1
4
16
5. (a) Lustig's Serum.—Of the 21 cases treated with Lustig's serum,
12 died and 9 recovered. There were 9 septicæmic cases amongst
those that died, and only one case became septicæmic during
treatment amongst those that recovered, but he ultimately pulled
through. There were thus only 3 deaths amongst the 12 non-
septicæmic cases treated with the serum. The average quantity of
serum used in the cases that recovered was 400 c. c. and in those
that succumbed 360 c. c. This average is nearly double that o£
last year and confirms what has been stated above as regards the
virulence of plague during the present epidemic, and were it not
for such large doses it would not have been possible to check their
septicæmia and to save those that recovered.
239
(Z») Roux's Serum.—Three cases were treated with Roux's serum, of
whom 1 died and 2 recovered. None of them were septicsemic,
when injected and the former became septicæmic only two or three
days before death. This patient's life was prolonged for 13 days
during the course of which he received 900 c. c. of Roux's serum
and when the supply became exhausted, 600 c. c. of Lustig's.
Examination after death revealed that it was only the enormous
quantity (1,500 c. c.) of serum put in that prolonged his life from
day to day, as he had' multiple buboes in the groin, pelvis and
abdomen, and multiple plague abscesses in these as well as in the
liver and lungs. The two cases that recovered received 650 c. c.
in one case and 430 c. c. plus 30 c. c. of Lustig's in the other,
(c) Professor Gajjars Liq. Iodi. Terchl.—This preparation was used
in 4 cases only ; it had to be suspended in one case as the patient
could take nothing by the mouth, and out of the three that received
full doses, 2 died and 1 recovered.
6. A table showing the details of the cases treated with the serum has
been appended as usual :—
Table showing the Details of Cases Treated with Lustig's Serum for the Month of January 1901.
Serial No.
1
2
3
4
5
6
7
8
9
10
11
12
Rigister No.
11
14
45
44
50
68
70
75
85
93
94
99
Date of admis-
sion.
2nd Jan. 1901
2nd „
7th „
7th „
10th „
11th „
12th „
13th „
16th „
17th „
17th „
18th „
Names.
Dewji Somla
P. J. DeSouza ...
Sundri Vithoo ...
Annee Sukha
Ramlal Bhagwanlal
P. DeSodder
Moslyrs DeSouza...
Tatia Avaji
Shamlal Bhagirath
Babia Luxmon ...
Morshin DeSouza...
Caitan DeSouza ...
Age.
2
27
8
25
24
18
30
2G
7
16
40
45
Sex.
m
m
f
f
m
m
m
m
m
m
m
m
Caste.
Hindoo
Christian ...
Hindoo
Do.
Do.
Christian
Do.
Hindoo
Do.
Do.
Christian ...
Do.
Duration.
4 days ...
9
2
2 „
...
2
1 day ...
5 days ...
3
4 „
...
3
„
2 „
...
2
Bubo.
Left axillary
Left femoral and in-
guinal
Left femoral and in-
guinal.
Left axillary
Right inguinal
Left femoral
Left parotid and
posterior cervical
with extensive in-
filtration.
Right axillary
Left axillary
Right femoral, in-
guinal and iliac.
Left femoral
Left femoral and
iliac.
Quantity
injected.
35 c.c...
300 c.c...
100 c.c...
340 c.c...
250 c.c...
300 c.c...
275 c.c...
400 c.c...
400 c.c...
250 c.c..
280 c.c...
380 c.c...
Died.
...
4-1-1901
...
10-1-1901
...
12-1-1901
15-1-1901
15-3-1001
...
18-1-1901
19-1-1901
21-1-1901
Recovered.
Recovered.
...
Recovered.
...
Recovered.
...
...
...
Recovered.
...
...
.,,
REMARKS.
Septicaemic before treatment was
begun. Death from amtiedima
of lungs.
Septicaemic before treatment was
begun. Death from gradual heart
failure.
Septicaemic when treatment was
begun. Death from heart failure
33 hours after admission.
Death from pressure of infiltration
in neck.
Septicaemic when injected. Death
from gradual heart failure.
Became septicaemic after injection.
but ultimately recovered.
Septicaemic when injected 210 c.c.
given subcutaneously and 40c. c.
intravenous. Death from heart
failure.
Septicaemic when injected ; 210 c. c.
subcutaneously, 80 intravenous.
Epileptic death from gradual
heart failure.
Septicaemic when injected. Death
from gradual heart failure,
240
13
14
15
16
17
18
19
20
21
118
133
165
158
173
172
178
194
199
21st Jan. 1901
23rd „
26th „
...
27th „
28th „
...
28th „
28th „
...
30th „
31st „
J. C. Pereira
Mary Magdelen...
Raghunath Ram
chandra.
Nathia Dulabh ..
Carlos Kohalœ ..
Govind Narayen..
Bhagia Mesur ...
C. R. Crasto ..
Kashi Vithoo ..
30
13
25
15
12
30
17
30
25
m
f
m
m
m
m
m
m
f
Christian ..
Do.
Hindu
Do.
Christian. ..
Hindu
Do.
Christian ..
Hindoo
2 days ..
2 „
..
2 „
..
4 „
...
2 „
...
4 „
...
4 „
...
2
,,
3 „
Left inguinal
...
Right femoral and
inguinal.
Rig-lit femoral
Left femoral & iliac
Right femoral, in
guinal and iliac.
Right inguinal
Do
Right femoral
Submental
...
425 c.c...
180 c.c...
380 c.c...
400 c.c...
460c.c...
500 c.c...
500 c.c...
450 c.c...
430 c.c...
...
...
29-1-1901
30-1-1901
30-1-1901
...
31-1-1901
...
Recovered.
Recovered.
Recovered.
Recovered.
Recovered.
Had 55 c. c. intravenous.
40 c. c. intravenous and 140 sub-
cutaneous. Good recovery ; con-
valescent 2 clays after admission.
Death from heart failure ; almost
pulseless when admitted; injected
the day after; life prolonged two
days.
45 c. c. intravenous ; 415 c.c. sub-
cutaneous. Death from gradual
heart failure.
90 c. c. intravenous and 410 c. c.
subcutaneous. Death from heart
failure; septicaemic when injected.
Septicœmic when injected, Death
from heart failure.
241
Table showing the Details of Cases Treated with Lustig's Serum for the Month of February 1901.
Register No.
206
210
215
214
219
Date of
admission.
1901.
1st Feb.
1st do.
2nd do.
2nd do.
2nd do.
Names.
Roza Rebollo
Vishram Khemjee ...
Baptista Lobo
Asharabai Nana
C. P. Cardoz
Age.
25
45
25
18
35
Sex.
Female.
Male.
Male.
Female.
Male.
Caste.
Christian.
Mussulman
Christian.
Hindoo.
Christian.
Duration
of
disease.
Days.
5
3
2
4
3
Bubo.
Left, femoral and inguinal...
Right inguinal
Left femoral, inguinal and
iliac
...
...
,,,
Left femoral, inguinal and
iliac
Left femoral, inguinal and
iliac
Quantity
injected.
c.c,
630 c,c.
300 „
200 „
200 „
300 „
RESULT.
Died.
Cured.
Died ...
,, ...
,,
...
Recovered.
REMARKS.
Death from gradual heart
failure.
Death within 12 hours of ad-
mission from heart failure.
do.
do.
do.
"Death from sudden heart failure.
242
Table showing the Details of Cases Treated with Lustig's Serum for the Month of March 1901.
No.
1
2
3
4
5
6
7
8
9
Register No.
451
456
461
463
467
471
474
478
481
Date of admission
1901.
3rd Mar.
4th Mar.
5th Mar,
6th Mar.
7th Mar.
8th Mar.
Ñames.
Casimir Fernandes...
Rudka Sukhai
Francis Minguel ..
Purshotam Govind...
Puran Ghashoo
Mariam Mohomed
Govind Mahadoo ...
Zingi Khandoo
Mohamad Saheb ...
Age.
20
19
8
25
35
20
24
20
12
Male..
Female.
Male ..
Female
Male ..
Caste.
Christian..
Hindu
Christian...
Hindu
,,
...
Mussulman
Hindu
,,
•••
Mussulman.
Duration of disease.
Days.
3
3
3
30
2
2
3
3?
10
Bubo.
Right Femoral, inguinal
and iliac.
Right femoral, inguinal
and iliac.
Left posterior, cervical
and sub-maxillary.
Left femoral (open) ...
Left axillary
Left inguinal
Left femoral, inguinal
and iliac.
Left axillary
Double sub-maxillary
submental and left
parotid.
Non-septicaemic-
Septieaemic -
Few colonies ++
Innumerale +++
+ after =
+ +
+ + +
+ +
==
+
+
Quantity injected c.c.
400 c.c. ..
200 c. c. ...
200 c.c. ..
Not injected..
1145 c. c. ...
1070 c. c. ...
170 c. c. ..
1160 c. c. ...
Not injected..
Result.
Died
,,
...
Recovered .
Died
Recovered .
REMARKS.
Coffee-ground vomiting, se-
condary bubo, left iliac.
Secondary bubo, right axil-
lary.
Secondary bubo, right poste-
rior cervical.
Lumbar and iliac abscesses
on p. M. examination ;
plague pyaemia.
Marasmus.
70 c. c. intravenous ; had mis-
carriage before admission ;
life prolonged for 5 days.
Life prolonged for 7 clays,
secondary bubo, left femoral.
243
Table showing the Details of Cases Treated with Lustig's Serum for the Month of March 1901—continued.
No.
10
11
12
13
14
15
16
17
18
Register No.
488
492
498
500
501
506
510
516
504
Date of admission
1901.
9th Mar.
10th „
,,
,,
11th Mar.
12th Mar.
11th Mar.
Names.
C. P. Pinto
J. P. Almeida
Pascal Rodrigues ...
Janabai Balkrishna...
Chandri Babia
St. Anne J. De Costa
Shantaram Annunt...
Soma Poonjia
Sonoo Luxman
Age.
45
60
25
30
22
30
12
33
16
Sex.
Male ...
Female
Male ..
Caste.
Christian,..
Hindu ...
55
Christian...
Hindu
Duration of disease.
Days.
3
3
2
1
8?
4
3
2
3
Bubo.
Right axillary infiltra-
tion.
Right femoral, inguinal
and iliac.
Double femoral, inguinal
and iliac.
Loft axillary ( ) very
small.
Left femoral, inguinal
and iliac.
Right posterior, cervical
and necrosis on cheek.
Left axillary with in-
filtration.
Left femoral, inguinal
and iliac.
Left supratrochlear and
necrosis on elbow.
Non-septicaemic-
Septieaemic -
Few colonies ++
Innumerale +++
+ after =
+ +
+and also staphy-
lococcus septicae
mia.
+ +
+
—
—
—
+ + + and also
staphylococcus
septicaemia.
Quantity injected c.c.
420 c. c. ...
200 c. c. ...
400 c. c. ...
850 c.c.. ...
Not injected .
550 c. c. ...
470 c. c, ...
2405 c. c. ...
500 c. c. ...
Result
Died
,,
...
Recovered .
Died
Recovered .
Died
REMARKS.
Death from aedema of lungs ;
subcutaneous hœmorrhage
in large patches on trunk
and back.
Double infection ; meningitis.
Secondary bubo, double pos-
terior cervical.
Moribund on admission, not
injected.
Plague and small-pox.
Meningitis.
Injections continued for 2
days on account of secon-
dary pneumonia and secon-
dary buboes, right femoral,
inguinal and iliac.
Secondary pneumonia and
double axillary.
244
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
525
527
503
530
534
538
543
545
547
553
556
559
560
562
568
572
13th Mar.
14th Mar.
,,
...
15th Mar.
...
,,
• • •
16th Mar.
,,
...
18th Mar.
Balla Naroba
...I
Nabai Raghoo.
Shiveram Deoji
Eneas St. Anne Cardoz
Domingo Borges
Tatia Narayen
Jani, wife of Harji ...
Rowji Krishna
Hari Bhayaji
Tookaram Nathiaram.
Lawrence Fernandez.
Narayen Dowlatia ...
Bhikoo Baloo
Kaloo Behari
Sayamma Pochaya ...
Esther Nathaniel ...
35"
35
15
25
50
20
30
25
22
30
50
30
25
20
7
11
,,
...
Female .
Male ...
Male ...
Female .
Male ...
Female,
,,
...
,,
...
Christian ...
,, •••
Hindu •••
Christian ...
Hindu
,,
...
55
...
,,
Christian ...
7
?
5
3
4
5
2
2
2
3
2
4
6
8
2
2
Left femoral, inguinal
and iliac, necrossis on
hep joint.
Right femoral, inguinal
and iliac.
Right axillary infiltra-
tion.
Right axillary infiltra-
tion.
Left axillary and bra-
chial.
Left femoral, inguinal
and iliac.
Right axillary.
Right axillary with infil-
tration.
Left femoral, inguinal
and iliac.
Right femoral, inguinal
and iliac.
Left femoral, inguinal
and iliac.
Pneumonic plague.
Right femoral, inguinal
and iliac.
Right femoral, inguinal
and iliac.
Right femoral, inguinal
and iliac.
and iliac.
Left femoral, inguinal
and iliac.
+ +
+ + +
—
+ +
_
+
,
+ ?
=
Not injected-..
,,
...
1580 c. c. ...
Not injected...
600 c. c.
950 c. c.
500 c. c.
500 c. c.
Not injected...
,,
...
550 c. c.
Not injected...
,,
...
,,
...
630 c. c. ...
1090 c. c. ...
,,
...
Recovered...
Died
,.
,,
...
,,
...
...
,.
Recovered...
,,
...
Died
Moribund on admission ; not
injected.
Do.
do.
Secondary buboes and pneu-
monia, marasmus and se-
condary infection.
Moribund on admission ; not
injected.
Secondary pneumonia.
Life prolonged for 7 days.
Secondary buboes ; left femo-
ral, inguinal and iliac.
Coffee-ground vomiting, left
femoral, inguinal and liac.
Moribund ; not injected.
Do.
do.
Do.
do.
Moribund ; not injected ; sub-
conjunctival haemorrhage.
Convalescent, not injected.
Coffee-ground vomiting;
General convulsions, se-
condary bubo, right femoral,
inguinal and iliac. Death
from exhaustion and ma-
rasmus.
245