15
Suppurative Arthritis.—The streptococcus, the usual causative organism of synovial
suppuration was present in both the cases treated. Case 206 is of special interest as the effect
of the vaccine was immediate and decisive. It was a patient admitted into hospital with a
swelling of the left knee of 10 days' duration and a temperature ranging from 101°
to 103°F.
Ordinary treatment having failed, the joint was opened and washed out with normal saline.
The sinus refused to heal and kept on discharging. A pure growth of streptococcus was
obtained from the discharge and a course of six injections of the autogenous vaccine given. The
temperature dropped down to normal after the first injection and kept more or less below 100°F
during the vaccine treatment. The discharge gradually lessened and the sinus closed completely
within five weeks of the commencement of the treatment.
TABLE X.
S e r i a l n u m b e r .
Case
number.
Medical officer.
Disease.
Vaccine made.
Result.
1
127
Second Surgeon, General
Hospital, Madras.
Abscess of hip joint .. Streptococcus brevis. No effect.
2
206
Third Surgeon, General
Hospital, Madras.
Suppuration of knee
joint
Streptococcus
.. Cured..
Pyelitis, Cystitis and Bacilluria. —With the exception of one case of pyelitis where a
diphtheroid bacillus was isolated and the autogenous vaccine brought about some improvement,
all the rest of the cases were due to B. Coli infection. These results are in agreement with
those of last year and indicate that most cases of bacilluria are coli infections, the organisms
evidently invading from the adjoining bowel in some unknown way.
Case 102.—Female aged 32. She had a severe attack of pain in the right loin with high
fever and rigors lasting a week and gave a history of similar attacks previously. The right
kidney was tender and enlarged. The urine contained blood, pus and bacilli. Injection with
the autogenous coli vaccine caused a clearing up of the urine and disappearance of the coliform
organisms.
Case 123.—Convalescent from enteric fever. He was admitted into hospital with high
fever. The urine was cloudy and contained coliform organisms. Cultivations showed a pure
growth of B. Coli. Three injections (10, 20 and 50 million) in the course of one week made the
urine clear up completely.
Case 154.—One of pyelitis and cystitis with pain in the loins and scalding micturition.
On account of the accompanying fever, dengue was suspected and salicylates were given. The
urinary trouble continued after the temperature came down and a bacteriological examination
of the urine was therefore made. B. Coli was isolated in pure culture and an autogenous
vaccine prepared and administered. There was a distinct improvement after the third injection
of 30 million and the patient recovered completely after the fifth injection of 75 million.
TABLE XI.
S e r i a l n u m b e r .
Case
number.
Medical officer.
Disease.
Vaccine made.
Result.
1
15
Dr. T. V. Subba Rao, Triplicane. Pyelitis
..
.. A diphtheroid bacillus. Improved.
2
20
Major Kirkpatrick, I.M.S ,
Madras.
Bacilluria
..
.. B. coli
..
.. Doubtful.
3
25
First Surgeon, General Hospital,
Madras
Cystitis
..
..
Do.
..
.. Slight improvement.
4
37
Dr. T. V. Subba Rao, Tripli-
cane.
Cystitis and pyelitis ..
Do.
..
.. No result.
5
97
Fourth Physician, General
H o s p i t a l M a d r a s .
Bacilluria
..
..
Do.
..
.. Not used.
6
102
Second Surgeon, General
Hospital, Madras.
Pyelitis and bacilluria.
Do.
..
.. Cured.
7
123
Fourth Physician General Hospital, Madras. Bacilluria
after enteric Do.
.. ..
Do.
8
154
Major T. H. Symons, I.M.S.,
Madras.
Cystitis
..
..
Do.
. .
..
Do.
9
200
Assistant Surgeon C. Ranga
bashyam, Choolai, Madras.
Pyelitis
..
..
Do.
..
.. Not known.