17
TABLE X— Cont .
Serial
num-
ber.
Case
num-
ber.
Medical Officer.
D i s e a s e .
Vaccine.
Result.
10
141
Dr. J. St. C. Bartley, Vepery . . . Gonorrhœal urethe-
ritis.
Gonococcus . . . Not known.
11
143
The Officer Commanding Station Hos-
pital, Poonamallee.
Streptococcus
. . . Improved.
Do.
12
144
Do.
do.
Do.
Staphylococcus
. . . No effect.
13
145
Do.
do.
Do.
Streptococcus
. . . Improved.
14
186
Do.
do.
Do.
Staphylococcus albus. Slightly im-
proved.
15
193 The District
Medical and Sanitary
Officer,G ō dā vari.
D o .
Do.
Under treat-
ment.
Infections of the urinary tract. —Pyelitis caused by infection either with B. Coli or with
cocci is much more common in the female than in the male, all the 8 cases treated being females.
The condition usually comes on in an acute form with high temperature, sweatings and signs
of septic absorption from the pelvis of the kidney, tenderness over the renal region being a
constant feature. The urine is usually loaded with pus cells and organisms, the latter being
grown in pure culture from the urine even without centrifugalization. The vaccine as a rule
gives very satisfactory results.
Case 133.—One of relapsing fever with spirochaetes in the blood. She developed
pyelonephritis as a complication, the urine showing large numbers of red corpuscles, pus cells
and colon bacilli. A course of 7 injections with the autogenous coli vaccine was given in five
weeks during which the urine steadily cleared up and the renal pain and constitutional
symptoms disappeared.
Case 35.—One of coli pyelitis in a woman of 25 years. She had fever for more than three
weeks with occasional rigors and sweatings, pain over the right lumbar region and painful
micturition. The urine was loaded with pus cells, epithelial cells and bacilli. The temper
- a t u r e r a n g e d b e t w e e n 1 0 2° F . a n d 1 0 3° F . A f t e r 3 i n j e c t i o n s ( 1 0 , 2 0a
n d 8 0 m i l l i o n ) g i v e n a t
intervals of 3 days the temperature came down to normal, the urine cleared up and the
patient was convalescent within a fortnight of the commencement of vaccine treatment.
Case 6 was one of staphylococcal pyelitis in a female with pyrexia and mild daily rigors
and severe pain in the lumbar region accompanying the rigors. The blood showed no
malarial parasites and quinine had no effect on the fever. The autogenous staphylococcus
albus vaccine prepared from the urine had a most decidedly beneficial effect and at the
end of the course of 4 injections (10 to 50 million at intervals of 6 to 8 days) the patient bad
completely recovered from the symptoms.
TABLE XI.
Infections of the urinary tract.
Serial
num-
ber.
Case
num-
ber.
Medical Officer.
Disease.
Vaccine.
Result.
1
34 The Superintendent, Government
Maternity Hospital, Madras.
Pyelitis
. . . Staphylococcus
. . . Not used.
2
35
Do.
do.
Do.
. . . B.coli
. . . Cured.
3
61
The Officer Commanding Station
Hospital, St. Thomas' Mount.
Bacilluria
. . . B. typhoid like orga-
nisms.
Improved.
4
73 The Superintendent, Government
Maternity Hospital, Madras.
Pyelitis
. . . B.coli
. . . Cured.
5
76
Major E. W. Browne, I.M.S., Ootaca-
mund.
Do.
. . . Staphylococcus albus.
Marked
im-
provement.
6
118
Dr. T. V. Subba Rao, Triplicane . . .
Cystitis
. . . Streptococcus and
staphylococcus
albus.
Do.
7
119
The Superintendent, Government
Maternity Hospital, Madras.
Pyelitis and cystitis.
Streptococcus . . .
Temporary
improve-
ment.
8
133 The Third Physician, General Hospital,
Madras.
Pyelonephritis . . . B.coli . . .
Cured.
9
142 Major Kirkpatrick, I.M.S., Madras . . .
Bacilluria . . .
Do . . . Not known.
10
181
Miss Alexander, Tondiarpet . . .
Pyelitis . . .
Do. . . .
Do
Other cases.— A number of other cases including 4 of puerperal sepsis, 1 of meningitis,
1 of pulmonary abscess and 1 of empyema were treated with autogenous vaccines. There is
nothing of interest to note in connection with them. Autogenous vaccines were also made for
6 cases of dysentery, 2 of these being patients of the Madras Lunatic Asylum where the
bacteriological investigation in connection with endemic asylum dysentery was continued
during the year.