13
Diseases of bones and joints.— Of the five cases treated, one was evidently a case of
gonocpccal arthritis, which unfortunately terminated in suppuration and had to be dealt with
by operation.
Case 11.—Suppuration of the elbow joint following excision for ankylosis resulting from
compound fracture five years previously. The suppuration was followed by symptoms of
p y æ -
mia, the right ankle and right knee getting inflamed and threatening to suppurate. An abscess
developed in the sacral region and the patient was attacked with acute cystitis with pus in the
urine. The ankle joint had to be opened and drained and the sacral abscess incised. With
the timely injection of the autogenous streptococcus vaccine, the knee joint was saved from
operation, all the abscesses rapidly healed, the urine cleared up and the patient was convales
-
cent within a month from the commencement of vaccine treatment.
TABLE VIII.
Diseases of bones and joints.
Serial
num
-ber.
Case
num-
ber.
Medical Officer.
Disease.
Vaccine made.
Result.
1
11 The Third Surgeon, General Hospital,
Madras.
Suppurative arthritis
o f e l b o w .
Streptococcus and
staphylococcus.
aureus.
Cured.
2
20
Do. do.
Suppurative arthritis
and multiple
abscesses.
Staphylococcus . . . Not used.
3
23 The Surgeon, First District, Madras . . . Psoas abscess . . . Streptococcus . . . No effect.
4
6 7 The Third Physician, General Hos
- pital, Madras.
Suppurative arthritis
of knee.
Gonococcus . . . Cured
but
after opera
-tion.
5
71
. . .
Do.
Streptococcus longus. Improved.
Gonorrhœa and its complications.— The Gonococcus was isolated from one case of urethritis
and the autogenous vaccine greatly benefited the patient. Streptococci and staphylococci
and diphtheroid bacilli were isolated from cases of chronic urethritis and cystitis following
gonococcal infection, but the result of treatment with the secondary vaccine varied in each
case.
TABLE IX.
Gonorrhœa and its complications.
Serial
num
-ber.
Case
num-
ber.
Medical Officer.
Disease.
Vaccine made.
Result.
1
13 Senior Sub-Assistant Surgeon A. Peru
- m a l N a y u d u , V e p e r y .
Urethral
stricture
and cystitis.
Streptococcus
and
staphylococcus.
Considerably
improved.
2
21 The District Medical and Sanitary
Officer, Cocanada.
Chronic urethritis . . . Streptococcus
and
staphylococcus
albus.
No effect.
3
41 Officer Commanding, Station Hospital,
Poonamallee.
Do. . . . Staphylococcus albus. Cured.
4
42
Do. do.
Do. . . . A diphtheroid bacil
-lus.
No effect.
5
43
Do. do.
Do. . . .
Do.
Do.
6
52 The District Medical and Sanitary
Officer, Cocanada.
Do. . . . Staphylococcus albus.
Do.
7
86 The District Medical and Sanitary
Officer, Nellore.
Gonorrhœal urethri
-tis.
Gonococcus . . . Much impro
-ved.
Cystitis and Bacilluria.—All the five cases were B. Coli infections. In every case a
number of colonies from the cultivations from the sample of urine were tested for their sugar
reactions and it was ascertained that the infection was with one definite variety of the Coli
group, before a vaccine was prepared and sent out for injection. A different individual of the
lactose fermenting group was present in each case.
Case 13.—Acute cystitis, the result of gonorrhœal urethritis of one-and-a-half years'
standing. Micturition was very painful and the urine was loaded with pus, blood and shreds
from the posterior urethra and bladder. The staphylococcus aureus and streptococcus were
isolated from the fresh urine and a course of combined autogenous vaccine given. The treat
-
ment had to he continued for over three months before the urine completely cleared up and the
dysuria was quite relieved.