13
TABLE VII.
S e r i a l n u m b e r .
Case
number.
Medical officer.
Disease.
Vaccine made.
Result.
1
30
Major F. F. Elwes, • C.I.E.,
I.M. S.
Lumbar abscess
.. Staphylococcus aureus. Not used.
2
61
Dr. F. Clarence Smith
, Madras.
Abscess of left leg .. A cocco bacillus
.. No result.
3
71
Superintendent, Government
Maternity Hospital, Madras.
Ovarian abscess
., Streptococcus
, . Improved but perhaps
as a result of local
and general treat
¬ment.
4
75
District Medical and Sanitary
Officer, Cuddalore.
Abscess
... ...
Staphylococcus aureus. Cured.
5
84
First Physician, General Hos
¬pital, Madras.
Do.
.. ..
Do.
No effect.
6
89
Second Surgeon, General Hos
¬pital, Madras.
Multiple abscesses ..
Do.
Cured.
7
92
Medical officer, Station Muni
¬cipal Hospital, Bellary.
Pyæmic abscesses ..
Do.
Do.
8
96
Major D. C. Kemp, I.M.S .,
Trichinopoly.
Abscess
..
Do.
Not known.
9
104
Second Surgeon, General Hos
¬pital, Madras.
Multiple abscesses ..
Do.
No result.
10
114
Superintendent, Government
Maternity Hospital, Egmore.
Abscess on check
..
Do.
Cured.
11
116
Second Surgeon, General Hos
¬pital, Madras.
Subphrenic abscess .. B. Pyocyaneus
..
Do.
12
128
Surgeon, first district, Roya
¬puram
Multiple abscesses .. Staphylococcus aureus.
Do.
13
129
Second Surgeon, General Hos
¬pital, Madras.
Pyæmic abscesses ..
Do.
Not used.
14
142
Officer Commanding 86th Car
¬natic Infantry, St. Thomas'
Mount.
Abscess in leg
Streptococcus
.. Not known.
15
148
Second Surgeon, General Hos
¬pital, Madras.
Abscess of thigh
.. . Staphylococcus aureus.
effect.
16
155
Captain J. W. Illius, I.M.S.,
Madras.
Abscess
..
.. •
D o.
Cured.
17
178
Second. Surgeon, General Hos
¬pital, Madras.
Abscesses
..
.. Staphylococcus aureus
and streptococcus
Do
18
179
District Medical and. Sanitary
Officer, Cuddalore.
Multiple abscesses .. Staphylococcus aureus.
Do.
19
191
M edical Officer, Municip
al Hospital, Trichinopoly.
Mammary abscess .. streptococcus
..
. . .
20
212
Medical Officer, Municipal
Hospital, Chingleput.
Multiple abscesses .. Staphylococcus aureus. Cured..
Carbuncle and cellulitis.—The staphylococcus aureus was present in the majority of the
cases either singly of in association with the streptococcus. The results of vaccine treatment
were as good as in ordinary suppuration. In the cases where both streptococci and staphylococci
were isolated, a combined vaccine was employed containing the organisms in the ratio of 1:2
Case 83.—A case of extensive diabetic cellulitis which commenced as a whitlow on the left
forefinger. The septic inflammation spread rapidly up to the elbow and amputation appeared to
be the only course open. As the patient did not consent to this severe operation the part was
freely incised and a course of injections with an autogenous staphylococcus aureus commenced.
The result of vaccine treatment was most gratifying. The spread of the cellulitis was promptly
arrested and by the end of about two months the fore-arm looked so healthy that recovery was
considered to be imminent. Unfortunately acute pneumonia set in and the patient succumbed to
it. This and similar cases prove the remarkable efficacy of autogenous staphylococcus and
streptococcus vaccines in suppurative inflammations even in such a low constitutional condition as
diabetes.
Case 112.—Carbuncle in a subadar of 45 years. The inflammation and suppuration were
of a very acute nature. Two injections of the autogenous staphylococcus vaccine caused an
almost complete disappearance of pus and after two more injections of 50 and 75 million staphy-
lococci the carbuncle healed completely.
Case 204.—A diabetic of many years standing. A localised cellulitis of the ankle set in
after a slight injury. The inflammation rapidly extended resulting in sloughing and suppura-
tion. Both the streptococcus and staphylococcus aureus were isolated and a combined vaccine
used. The spread of the cellulitis was immediately averted thereby and a rapid healing effected
by the administration of four doses ranging from 5 to 50 million streptococci.
4