11
pustules and ultimately burst into ulcers which scabbed over and continued to spread at the
margins beneath the scabs. There was a certain degree of constitutional disturbance in the
severer cases. They resisted all general and local treatment and ultimately yielded quickly
to the streptococcal vaccine.
Case 6.—A sepoy of the 80th Carnatic Infantry was suffering for two years from a
very obstinate pemphigoid eruption over the greater part of the body, which resisted all local
and general treatment. The eruption began as pustular spots, which broke down into chronic
ulcers with a tendency to scab and spread under the scabs. Stock streptococcal vaccine had
no effect. A course of graduated doses from 1 to 10 million of the autogenous vaccine ended
in steady recovery without any reactions.
TABLE II.
Eczema, pemphigus, and skin eruptions.
Serial
num-
ber.
Case
num-
ber.
Medical Officer.
Disease.
Vaccine made.
Result.
1
6
The Officer Commanding, 86th C.I.,
St. Thomas' Mount.
Pemphigoid erup-
tion.
Streptococcus . . . Considerably
improved.
2
10
Dr. L. A. Prins, Thattaparai . . .
Eczema . . . Staphylococcus
aureus.
Not known.
3
17
Captain A. J. H. Russell, I.M.S.,
General Hospital, Madras.
Sycosis . . .
Slightly im-
proved.
Do.
4
18
The Medical Officer, Section Hospital,
St. Thomas' Mount.
Pemphigus . . . Streptococcus . . . Not used.
5
26
Dr. A. S. Wilson, Kodaikanal
Do. . . .
Do. . . . Cured.
Streptococcus and
Staphylococcus
aureus.
6
39
. . .
Pemphigoid erup-
tions.
Do.
7
41
. . .
Pemphigoid erup-
tions on foot.
Do.
Streptococcus . . .
8
66
The Medical Officer, 80th C.I., St.
Thomas' Mount.
Eczema . . .
Do. . . . Slightly im-
proved.
9
72
The Second Surgeon, General Hospital,
Madras.
Eruptions on face . . . Staphylococcus
aureus.
Cured.
10
74 The Officer Commanding, Station
Hospital, Madras.
Pemphigus . . . Streptococcus . . .
Do.
11
86
Do. . . .
Do. . . .
Do.
. . .
12
109 The Medical Officer, Section Hospital,
St. Thomas' Mount.
Pustules on legs
Do. . . .
Do.
13
113
Do.
do.
Pemphigoid erup-
tions.
Do. . . .
Do.
14
114
Do.
do.
Pemphigus . . .
Do. . . .
Do.
15
116
Do.
do.
Do. . . .
Do.
Do.
16
117
Do.
do.
Do. . . .
Do.
17
120
Major F. F. Elwes, C.I.E., I.M.S.,
Madras.
Pemphigoid erup-
tions on foot and
fore-arms.
Do. . . . Not known.
18
144 Dr. P. K. Warriar, Calicut . . .
Indolent pustules . . . Staphylococcus . . . Much im-
proved.
Abscesses, Carbuncles and Cellulitis.— Of the 15 cases of this class which were treated
with autogenous vaccines, 11 were staphylococcal abscesses. Of the remaining four which
were streptococcal infections, one was a case of recurring alveolar abscesses, two were pyæmic
abscesses and one a case of diabetic cellulitis.
Case 78 was one of multiple pyæmic abscesses in a patient of a mufassal hospital. As
the staphylococcus is the usual cause of such abscesses, the medical officer in charge gave him
a course of stock staphylococcus injections but these had no effect and the patient continued
to develop fresh abscesses. Cultivations from the pus were then made and sent to this labora--
tory and a pure growth of streptococci was noticed in the culture tubes. After three doses of
2½, 5 and 7½ million of the autogenous streptococcus, vaccine, the abscesses healed rapidly and
the temperature came down to normal. The patient made a complete recovery after eight
injections extending over a period of one month.
Case 49.—A diabetic of 38 years who developed a number of large abscesses over the
back, thigh, anus and abdominal wall, accompanied with fever and general prostration. The
abscesses were opened and the autogenous staphylococcus vaccine was at the same time
injected in graduated doses of 25 to 200 million. The patient made a steady progress, all the
abscesses rapidly healed and no new ones developed after the commencement of the vaccine
treatment.
Case 40.—Recurring alveolar abscess from the discharge from which a streptococcus was
isolated. The autogenous vaccine was injected in doses of 5 to 200 million in the course of
four months, with the result that the existing abscesses healed and no fresh ones formed and
the patient's general health greatly improved apparently due to the stoppage of further septic
absorption from the sockets of the teeth.