18
Miscellaneous cases.—There was nothing of interest in the miscellaneous class of cases,
which consisted mostly of puerperal and gynæcological cases, viz., streptococcal and B. coli
infections of the uterus cervix or vagina.
TABLE X.
Miscellaneous.
Serial n u m -
ber.
Case
num - b e r .
Medical Officer.
Disease.
Vaccine made.
Result.
1
4 Superintendent, Lying-in-Hospital,
Madras.
Puerperal sepsis . . . Streptococcus and
B. Coli.
Not reported.
2
14 Superintendent, Government Mater
-nity Hospital, Egmore.
D o . . . .
Streptococcus . . .
Not given a
fair trial.
3
21
Do.
Suppurating parova
-rian cyst.
B. Coli . . .
Died before
vaccine
arrived.
4
33
Do.
Cervical leucorrhœa. Streptococcus . . .
Not used.
5
37
Do.
Do.
Do.
Do.
6
66
. . .
Alimentary toxæmia. B. Coli
. . .
Not reported.
7
78 District Medical and Sanitary Officer,
Cocanada.
Cervical leucorrhœa. Streptococcus . . .
No relief.
8
80 Superintendent, Government Mater-
nity Hospital, Egmore.
Vaginitis . . .
Staphylococcus and
diphtheroid
bacillus.
No effect.
9
172 Superintendent, Rainy Hospital,
Tondiarpet.
Puerperal sepsis . . . Streptococcus . . .
Do.
STOCK VACCINES.
Polyvalent staphylococcus vaccine was supplied on a fairly large scale to several district
hospitals where it was administered with benefit both as a curative and as a prophylactic with
apparently favourable results. As a curative it was not only found useful in the ordinary
cases of boils and abscesses but was also found to be of value in cases of carbuncles, cellulitis,
gangrene, puerperal sepsis, mastoid suppuration, chronic sinuses, etc. In a case of sloughing
arm it was used as a prophylactic before amputation of the limb. In many of these conditions
it was no doubt used more or less empirically and it is not possible to say that the benefit was
not due to concomitant medical and surgical treatment.
Polyvalent streptococcus vaccine was favourably reported upon in cases of carbuncles,
extensive burns and suppurating ulcers and sinuses. In conjunction with anti-streptococcus
serum it was successfully used in a case of erysipelas and as a prophylactic it has been reported
to have been of benefit in a case of operation for strangulated hernia.
Polyvalent pemphigus streptococcus vaccine was very rarely found to fail in cases of skin
eruptions of the usual pemphigoid nature. It was found to have an inhibitive effect also in
certain classes of chronic eczematous conditions even though no streptococci could be detected
or grown from them. There were a number of cases of fairly extensive and severe pemphigoid
eruptions amongst the European and Indian troops at St. Thomas' Mount and amongst the
young recruits in the Overseas Training School at Saidapet. The stock pemphigus vaccine
was used in all these cases and gave uniformly gratifying results, the complaint completely
clearing up with three or four injections of from two to twenty million streptococci.
A polyvalent B. Coli vaccine which was issued on a small scale was reported to be of
benefit in coli pyelitis. It was also used with success in a case of abscess of the anterior
abdominal wall which was discharging pus of a foecal odor.
Polyvalent Pneumococcus vaccine was used by some mufassal medical men in cases of
pneumonia and bronchitis, especially during the recent influenza epidemic. Though the
pneumococcus may no doubt have been a secondary organism in some of the cases, it
is doubtful how far the success attributed to the vaccine in the cases that recovered was
really due to the vaccine. In one case it was used as a prophylactic against septic pneumonia
after cut throat with successful results.
A compound catarrhal vaccine made up of a number of strains of Pneumococcus,
M. Catarrhalis and B. Influenzae was supplied to a few medical men. Some of the strains of
B. Influenza isolated during the recent epidemic were also incorporated in this vaccine. The
Chief Medical Officer of the Kolar Gold Fields used the vaccine in three cases of chronic
bronchitis with excellent results. One very chronic case who was losing a great deal of time
off work did not lose a single day since the vaccine treatment was begun about three months
previous to the date of report.
Polyvalent gonococcus vaccine was in a very great demand during the year, a positive
proof of its efficacy in the various manifestations of gonococcal infection. Opinions were
unanimous regarding its value in the gonorrhœal affections of joints and fasciæ, e.g., of 24