15
TABLE IV.
Septic wounds and sinuses.
Serial
num
-ber.
Case
num
-ber.
Medical Officer.
Disease.
Vaccine made.
Result.
1
11 Rao Bahadur K. Krishnan, Palghat . . . Sinus of neck . . . Streptococcus . . . No apprecia
-ble benefit.
2
45 The
Superintendent,
Government
Lunatic Asylum, Kilpauk.
Chronic ulcer of the
neck.
Staphylococcus . . . No effect.
3
55 The
Superintendent,
Government
Maternity Hospital, Madras.
Abdominal sinus . . . Streptococcus . . . No decided
effect.
4
82 The District Medical and Sanitary
Officer, Coimbatore.
Sinus of the shoulder
joint.
Staphylococcus . . . No percep
-tible impro
-vement.
5
125 Dr. S. P. Sarma, Tiruvalur . . . Anal fistula . . . Streptococcus . . . Improved.
Case 125 was the only one out of the five cases that benefited by the vaccine treatment.
The patient had two fistulæ, one on each side of the anus and connected with the rectum.
The fistulæ were laid open and scraped and though they appeared to be healing, the patient
developed a hectic temperature. After the second injection of five million of the autogenous
streptococcus, the evening temperature fell down to normal and the ulcer began to heal up
quickly. There was still a small ulcer when the report was sent, the patient having just
received the sixth injection of twenty million streptococci.
Pyorrhœa Alveolaris.— No autogenous vaccines for this disease were made during the year
for local patients, apparently on account of the practical failure of pyorrhœa vaccines during
the previous years in the hands of the local medical men. Of the five mufassal cases for whom
autogenous vaccines were prepared, the result is known in three cases only, one being
unsuccessful, the second being reported as improved and the third as cured.
TABLE V.
Pyorrhœa Alveolaris.
Serial
num
-ber.
Case
num
-ber.
Medical Officer.
Disease.
Vaccine made.
Result.
1
41 Dr. A. N. Verghese, Chidambaram . . . Pyorrhœa . . .
Streptococcus . . . No effect.
2
44 The Officer Commanding Indian Troops
War Hospital, Bolarum.
Do. . . .
Do. . . . Cured.
3
106 The District Medical and Sanitary
Officer, the Nilgiris.
D o . . . .
Do. . . . Not reported.
4
123 Rao Sahib Dr. K. Madhava Menon,
Cochin,
D o . . . .
Do. . . . Improved.
5
129 Medical Officer, Pentland Hospital,
Vellore.
Do. . . .
Do.
. . . Not reported.
Case 44.—A Lance Naick in the Indian Troops War Hospital at Bolarum. While on
active service in Mesopotamia he developed scurvy and had to be invalided in consequence.
A very bad condition of pyorrhœa followed with swollen and painful gums and shaky teeth
which started apparently after the attack of scurvy. Cultivations from the alveolar discharge
made at Bolarum and sent to Guindy by post gave a growth of the usual streptococcus brevis.
A series of six injections from ten to one hundred million was given with the result that the di
s - c h a r g e g r a d u a l l y d i m i n i s h e d a n d u l t i m a t e l y s t o p p e d a l t o g e t h e r , t h e p a t i e n t h a v i n g t h e r e a f t e r
been discharged to duty.
Acne. —Of the eight cases from which cultivations were made, the acne bacillus could be
isolated in three cases only. The anærobic cultivations were made in ordinary bonillon
deoxygenated by boiling, cooled rapidly, inoculated with the washed comedones and quickly
sealed with sterile melted vaseline. In cases where the acne bacillus could not be isolated, the
autogenous staphylococcus albus vaccine was combined with a stock polyvalent acne bacillus
vaccine. The result of treatment was satisfactory, five out of the six cases in which the
reports were received having benefited by the vaccine treatment.