Case 23.—The patient complained of sores breaking out on the feet and legs over three months
ago. The sores rapidly became covered with dark greenish scabs, below which, suppuration
continued for days together producing a great deal of irritation. The sores would ultimately
heal leaving pigmented scars but fresh vesicles would appear in adjoining parts. The fore-arms,
aims and shoulder ultimately became affected when autogenous vaccine treatment was begun.
Only four doses of the streptococcus vaccine were given 1/3 , ½ , 1 a n d 2 m i l l i o n r e s p e c t i v e l y a t
intervals of six days and the eruption was completely cured in about two weeks from the
beginning of the treatment
Case 12.—Case of suppurating pemphigus in a male of 24 years. The whole of the hips
was covered with blebs which thence spread to the back, arms and legs. The blebs, clear at
first, soon turned into little sacs of pus which later dried up into thick hard scabs. Cultivations
gave a pure growth of the usual streptococcus. Two doses of stock pemphigus streptococcus
vaccine, 2 million each, followed by three doses of the autogenous (2 to 5 million) resulted in
complete recovery.
TABLE IV.
S e r i a l n u m b e r s .
Case
number.
Medical officer.
Disease.
Vaccine made.
Result.
1
12
Third
Surgeon,
General
Hospital, Madras.
Suppurating pemphi¬
gus.
Streptococcus
.. Cured.
2
23
Captain Lapsley, I.M.S., St.
Thomas' Mount.
Pemphigus ..
..
Do.
..
Do.
3
24
Resident
Medical
Officer,
General Hospital, Madras.
Do.
..
..
Do.
.. Not known.
4
58
. . . .
Do.
. .
..
Do.
.. Cured.
5
94
. . . . . . . .
Do...
• •
Do.
..
Do.
6
100
First
Physician,
General
Hospital, Madras.
Pemphigoid eruption
Do.
.. No effect.
7
121
First
Surgeon,
General
Hospital, Madras.
Pemphigoid rash on
buttocks.
Do.
.. Not given a fair trial.
8
140
Rao Sa hib Dr. C. B. Rama Rao
B. A , M .D , Tellicherry.
Pemphigus ..
..
Do.
.. Cured.
Acne.—Of the six cases subjected to vaccine treatment, one improved a great deal, a second.
had some temporary benefit, the result in two cases is not known and a fifth is under treatment.
The acne bacillus either alone or with the staphylococcus albus was present in the cultures. In
case 40, no anærobic cultivation was made and hence no acne bacillus was cultivated. The
diphtheroid bacillus isolated in case 117 was probably an adventitious organism as the vaccine
did not produce any effect.
TABLE V.
s e r i a l n u m b e r s
Case
number.
Medical officer.
Disease.
Vaccine made.
Result.
1
16
Officer Commanding, Station
Hospital, Poonamallee.
Acne ..
..
.. Acne bacillus
and
staphylococcus
albus.
Improved.
2
40
Superintendent, Government
Maternity Hospital, Madras.
Suppurating acne .. Staphylococcus aureus. Not known.
3
55
Chief Medical officer, South
Indian Railway,
Trichi¬
nopoly.
Acne ..
• ,
• .
Acne bacillus
and
staphylococcus
albus.
Improved.
4
117
....
Do. ..
..
.. A diphtheroid bacillus No effect.
5
120
Resident
Medical
officer,
Gereral Hospital, Madras.
Do. ..
..
.. Acne bacillus
.. Not known.
6
217
Surgeon,
First
District,
Do. ..
.. Acne bacillus
and Under treatment.
Madras.
staphylococcus albus.
Ulcers, septic wounds and sinuses .—The results obtained in this class of cases were
indifferent. The cases of cancerous and syphilitic ulcerations could not possibly yield to vaccines
made from organisms which were secondary ones growing in the discharge from the specific
ulcers.
Case 181. — One of septic infection and erysipelas of the leg. It would have been an
excellent case for the vaccine treatment as the streptococcus isolated was certainly the organism
concerned in the infection The condition was however so acute that the vaccine could not be
made use of in time to be of any avail.