7
APPENDIX.
NOTES ON VACCINE THERAPY.
By Civil Assistant Surgeon M. Kesava Pai, M.D.
Furunculosis .—Of the 24 cases under this heading, 18 were typical cases of boils in
which the staphylococcus aureus was found to be the organism concerned. Six were cases of
pustular eruption, 5 of them including a case of Whitlow being caused by a staphylococcus
aureus and the sixth by a staphylococcus albus. This last was an interesting case of a young
man of twenty-four years on whose chest there was a crop of pustules each of which on healing
left a raised keloid-like scar disfiguring the chest with a line of keloids. The autogenous
staphylococcus albus vaccine suppressed the crop of pustules, but the treatment was unfortu
-nately not followed up and a permanent cure was not reported. Of the 17 cases in which the
results were reported 12 were cured, 4 improved and the last got apparently worse presum
-ably as a result of reaction.
Case 40.—A baby of four months developed a rich crop of boils, about 25 to 30 of which
had to be opened one after the other each containing about half a drachm of pus. The
temperature oscillated between 99°F and 101°F. With each succeeding injection the number
and size of the boils decidedly decreased and after the fifth injection the child was practically
cured.
Case 98.—A nurse who bad successive crops of boils on the breast, face, neck and other
parts of the body for several months. Some of the boils used to become large in size and
had to be incised. Six doses of the autogenous staphylococcus vaccine completely cured the
condition and there was no recurrence of the complaint two months after the final dose.
TABLE I.
Furunculosis.
Serial
num-
ber.
Case
num-
ber.
Medical Officer.
Disease.
Vaccine made.
Result.
1
24 The Superintendent, Lunatic Asylum,
Madras.
Pustular eruption . . . Staphylococcus
aureus.
Cured.
2
25 Dr. P. N. Lakshmanan, Trivandrum . . .
Do. . . . Do.
Not given a
trial.
3
31
. . .
Boils . . .
D o . .
Not used.
4
39 The Second Surgeon, General Hospital,
Madras.
Pustules on arm . . .
Do.
Not known.
5
40 The District Medical and Sanitary Offi-
cer, Gōdā vari.
Boils . . .
Do.
Cured.
6
50
Do. do.
Do.
No effect.
7
61 The Resident Medical Officer, General
Hospital, Madras.
Do. . . .
Do.
Not known.
8
63 Dr. W. R. Gibson, Chief Medical Officer,
M. & S.M. Railway, Madras.
Do. . . .
D o .
Improved.
9
64
Do. do.
D o . . . .
Do.
Slightly im
-proved.
10
68 The Resident Medical Officer, General
Hospital, Madras.
Do. . . .
Do.
Cured.
11
70 Major A. C. Ingram, I.M.S., General
Hospital, Madras.
Do. . . .
D o .
Do.
12
73 Dr. W. R. Gibson, Chief Medical offi-
cer, M. & S.M. Railway, Madras.
Do. . . .
Do.
Do.
13
74 Lieut.-Col. C. Donovan, I.M.S., Roya-
pettah.
Recurring boils . . .
Do.
Cured; but
probably by
other treat
-
ment.
14
77 Major F. F. Elwes, C.I.E., I.M.S., Eg-
more.
Whitlow . . .
Do.
Cured.
15
78 The Resident Medical Officer, General
Hospital, Madras.
Boils . . .
Do.
Do.
16
97
. . .
Do.
. . .
Do.
Do.
17
98 Captain A. J. H. Russell, I.M.S.,
General Hospital, Madras.
Do . . .
Do.
Do.
18
99 The Superintendent, Government
Maternity Hospital, Egmore.
Do. . . .
Do.
Not known.
19
104 The Medical Officer, Clinical Labora-
tory, Station Hospital, Madras.
Do.
. . .
Do.
Improved.
20
105 The Fourth Physician, General Hos-
pital, Madras.
Pustular eruption . . . Staphylococcus
albus.
Temporary
improve -
ment.
2-A