10
TABLE II —cont.
Serial
num-
ber.
Case
num-
ber
Medical Officer.
Disease.
Vaccine made.
Result.
4
41 The First Physician, General Hospital,
Madras.
Pemphigus . . . Streptococcus . . .
Not known.
5
51 The Resident Medical Officer, General
Hospital, Madras.
Pustular eczema . . . Staphylococcus
aureus.
Cured.
6
63 Dr. E. Rama Wariar, Calicut . . . Chronic eczema . . .
Do.
Greatly im
-proved.
7
75 The Resident Medical Officer, General
Hospital, Madras.
Eczema . . .
Do.
Do.
8
107
Do. do.
Do . . .
Do.
Improved.
9
120
Do. do.
Do. . .
Do.
Not known.
10
122
Do. do.
Sycosis of face . . . Staphylococcus albus.
Do.
11
125
Do. do.
Do . . .
D o . a u r e u s .
Do.
12
130 Officer Commanding Station Hospital,
St. Thomas' Mount.
Pustules on arm . . . Streptococcus brevis. Greatly im-
proved.
13
139 The Surgeon, IV .District, Madras . . . Dermatitis . . . Staphylococcus albus. No effect.
14
140 The Resident Medical Officer, General
Hospital, Madras.
Pustular eruption on
thigh.
Staphylococcus
aureus.
Not known.
15
153 Tho Officer Commanding
Station
Hospital, Poonamallee.
Pustular eruption on
face.
Do.
Improved.
16
162 Dr. B. K. Nariman, M. & S.M. Rail-
way, Madras.
Vesicular eruption . . .
Do.
Cured.
17
168 The Director, King Institute, Guindy . . . Pemphigoid eruption
on arms.
Do.
Do.
18
192 The Officer Commanding, Brigade
Laboratory, Fort St. George.
Pemphigus . . . Streptococci . . .
Under treat
-ment.
Abscesses and carbuncles. —The organism isolated was as a rule the staphylococcus
aureus, streptococci having been grown in two cases only. In these latter it is not unlikely
that the streptococcus invaded the tissues after the abscesses opened or else they were cases
of suppurative cellulitis and not circumscribed abscess. Two cases deserve special mention.
Case 71. was a typical instance of a markedly lowered resistance to staphylococcal
invasion so commonly seen in the hot weather. The condition begins as an attack of prickly
heat. Many of the papules rapidly run into vesicles and pustules with an angry lookin
g
areola around each and very tender to the touch. These are soon followed by crops of boils
and superficial abscesses, the chest, armpits, face and scalp being most frequently affected.
In the present case the abscesses were so numerous that as many as eighteen had to be
incised. Large patches of prickly heat had formed into weeping eczematous areas, covered
here and there with thick scabs, which, when removed, left large bleeding surfaces. After
the first two doses of 25 and 35 million autogenous staphylococcus vaccine, the skin rapidly
cleared up, the abscesses completely healed and the skin assumed a more healthy appearance
than for months previously.
Case 124—One of multiple abscesses in a baby of nine months. The left elbow, back and
thigh were covered with small abscesses of the size of marbles. They were incised and
drained, whilst fresh ones formed in the neck, right arm and external ear, the child develop
-
ing a temperature of 102 0 F. daily. After four injections of autogenous staphylococcus
vaccine the temperature dropped down to normal and the child made a complete recovery.
TABLE III.
Abscesses and carbuncles.
Serial
num
-ber.
Case
num-
ber.
Medical Officer.
Disease.
Vaccine made.
Result.
1
2 The First Surgeon, General Hospital,
Madras.
Multiple sinuses . . .
Staphylococcus
aureus.
No effect.
2
9 The Third Surgeon, General Hospital,
Madras.
Abscess foot . . .
Do.
Cured.
3
15
Do. do.
Abscesses . . .
Do.
Do.
4
25 Assistant Surgeon S. P. Sarma, Dindi
-gul.
Carbuncle . . .
Do.
Not known.
5
26 The First Surgeon, General Hospital,
Madras.
Iliac abscess . . .
B. Coli . . .
Not given a
fair trial.
6
49 The District Medical and Sanitary
Officer, Guntur.
Diabetic abscess . . .
Staphylococcus
aureus.
Not used.
7
60 The District Medical and Sanitary
Officer, Trichinopoly.
Abscess . . .
Do.
Not known.
8
62 The District Medical and Sanitary
Officer, Cuddalore.
Do. . .
Do.
Not used.
9
68 Dr. P. Lakshmanan, Quilon . . . Diabetic carbuncle . . .
Do.
Cured.
10
70 Officer Commanding Brigade Labora-
tory, Madras.
Abscess . . .
Do.
Do.
1 1
71
Do. do.
Multiple abscess . . .
Do.
Do.