12
TABLE II— Cont.
Serial
num
her.
Case
num-
ber.
Medical Officer.
Disease.
Vaccine made.
Result.
6
72 Captain M. P. K. Menon, I.M.S., St.
Thomas' Mount.
Eczema . . . Staphylococcus . . . Not known.
7
73 Superintendent, Government Maternity
Hospital, Egmore.
Do. . . .
Do. . . .
Do.
8
74 District Medical and Sanitary Officer,
Ootacamund.
Ulcers (diabetic) . . . Streptococcus . . . Not used.
9
86 Superintendent, Royapettah Hospital,
Madras.
Pemphigus . . .
Do. . . . Cured.
10
87
Do. do.
Cancrum Oris . . .
Do. . . . Not reported.
11
94 Second Physician, General Hospital,
Madras.
Chronic eczema . . . Staphylococcus . . . No effect.
12
98 Superintendent, Government Mater-
nity Hospital, Egmore.
Sycosis face . . .
Do. . . . Not reported.
13
102 First Surgeon, General Hospital,
Madras.
Pustules . . .
Do. . . . Not given a
good trial.
14
105 Officer Commanding Station Hospital,
Poonamallee.
Ulcer . . . Streptococcus . . . Not reported.
15
118 Dr. J. H. Warnshuis, Kodaikanal . . . Pemphigus . . .
Do. . . . Cured.
16
120 District Medical and Sanitary Officer,
Salem.
Do. . . .
Do. . . .
Do.
17
126 Superintendent, Government Maternity
Hospital, Egmore.
Do. . . . Streptococcus and
Staphylococci.
Improved.
18
127 First Physician, General Hospital,
Madras.
Sycosis . . . Staphylococcus . . . Slight im-
provement.
19
134 Dr. R Menon, Coimbatore . . .
Do. . . .
Do. . . . No effect.
20
135 Medical Officer, 88th C.I., St. Thomas'
Mount.
Pemphigoid erup-
tions.
Do. . . . Not reported.
21
143 Superintendent, Government Maternity
Hospital, Egmore.
Eczema . . .
Do. . . . Cured.
22
153 Civil Surgeon, Negapatam . . .
Do. . . . Staphylococcus and
streptococci.
Cured but
probably by
local treat-
ment.
23
174 First Physician, General Hospital,
Madras.
Do. . . .
Do.
Not used.
Case 12 is an interesting instance of how a vaccine made from an organism which is a
secondary one for the condition concerned can bring about a temporary improvement by
inhibiting the growth of the secondary organism. It was a case of Lupus Erythematosus
with symmetrical patches on both the sides of the nose and the cheeks, as also on the chin
with pustules scattered all over the affected area. Cultivations from the pus showed staphy
-
lococcus aureus and the autogenous vaccine brought about such a decided improvement in
the patches on account of the suppression of the staphylococcal pustules that the patient was
at first considered to be steadily recovering. The patch of Lupus however continued to
spread especially after stopping the staphylococcal injections and the patient is advised to
undergo Finsen treatment.
Case 118 is a very interesting case of a young European lady who was a chronic
subject to boils. She arrived in India in December 1917 and her condition became worse as
a result of the change to this country. Several local and constitutional remedies were tried
without benefit. Stock staphylococcal vaccines were injected but without avail. Ultimately
then cultivations were made from the boils ; a pure growth of streptpcoccus was obtained.
The condition was evidently one of pemphigus and this bacteriological diagnosis is borne out
by the clinical description of the condition given by the doctor in charge of the case :—" large,
flat-surfaced boils, which run and dry up again—not much pus present." This is the typical
pemphigoid eruption due to streptococcal infection. A course of the autogenous streptococ-
cus vaccine cured the condition.
Abscesses, carbuncles and cellulitis .—Circumscribed abscesses were as a rule staphylococ-
cal. Wherever the streptococcus was isolated, suppuration in the connective tissues is
observed to be the condition concerned, e.g., abscesses in the axillary and mammary
c o n n e c - t i v e t i s s u e , i n t h e i s c h i o r e c t a l a n d p o s t c o c c a l c o n n e c t i v e t i s s u e , i n t h e p o u c h o f D o u g l a s ,
e t c
.
A case of suppurative lymphangitis (case 25) was also streptococcal, the condition being a
diffuse cellulitis in the course of the lymphatics.