NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
TABLE—cont.
Numbe r .
Name.
Date of blood
examination
with result
before
salvarsan.
Date of first
s a l v a r s a n .
Date of blood
examination after
salvarsan with result.
Date of
second
salvarsan.
Date of blood
examination after
salvarsan with result.
Date of
third
salvarsan.
Date of blood
examination after
salvarsan. with result.
Remarks.
N u m b e r o f i n j e c t i o n s .
D u r a t i o n i n w h i c h p o s i t i v e r e a c t i o n w a s m a i n t a i n e d .
P e r i o d w h i c h e l a p s e d a f t e r f i r s t i n j e c t i o n t o o b t a i n a n e g a t i v e r e a c - t i o n .
Rel apes .
52 K. Poonamallee.
..
10th Sept.
1913.
Positive,
weak, 24th
November 1913.
..
....
..
....
1 8 weeks
..
..
..
53 A. D. ..
.. Positive, trace,
21st Nov.
1912.
23rd Nov.
1912.
....
19th Dec.
1912.
...
11th Jan.
1913.
Positive, trace, 18th Jan-
nary 1913.
3
Do.
..
..
..
54 P. K. ..
.. Positive,
strong, 5th
Dec. 1912.
14th Dec.
1912.
Positive, weak,
28th
January 1913.
..
. . . .
..
....
1 4 weeks
..
..
..
55 M.
. .
.. Positive, 1st
August 1912.
10th Aug.
1912.
....
31st Aug.
1912.
Positive, weak, 10th Febru-
ary 1913.
..
....
2 24 weeks ..
..
..
56 Pt.
..
..
..
Salvarsan .. Negative, 17th February
1913.
..
....
..
....
1
..
..
..
57 T. R.
.
.. Positive strong,
4th May
1912.
5th
May
1912.
Positive, weak, 22nd May
1912.
30th Ma y
1912.
Negative, 3rd August
1912.
Positive strong, 3rd
January 1913.
Positive, moderate, 4th
February 1913.
Salvarsan
about
the 8th
Feb.
1913.
P o s i t i v e , s t r o n g , 8 t h F e b -
ruary 1913.
Positive, weak, 8th May
1913.
3 2 weeks.
12 weeks.
31, 35, 36
and 48
weeks.
58 F.... ..
..
Salvarsan.
....
Salvarsan. Negative, 3rd March 1913.
..
....
2
..
..
..
59 P. N. ..
.. Positive, strong.
25th April
1912.
1st
May
1912.
Positive, strong, 20th May
1912.
27th May
1912.
Do. 6th
"
..
....
2 3 weeks
.. 5 weeks
..
60 R. R. ..
..
..
Salvarsan.
....
Salvarsan.
Do. 1st April 1913.
..
....
2
..
..
..
61 G. M. S.
..
..
Do.
....
Do.
Positive, trace, 1st April
1913.
..
....
2 ..
..
..
62 K. S. ..
.. Positive, trace.
Do.
....
Do.
Negative, 8th April 1913.
..
....
2
..
..
..
63 R. ..
.. Positive,
weak, 4th
July 1912.
Salvarsan
(Oct. 1912).
....
Salvarsan
(October
1912).
Do. 23rd May 1913.
..
....
2
..
28 weeks ..
..
64 N.
..
.. Positive trace. 25th April
1913.
Negative, 2nd June 1913.
..
....
..
....
1
..
5 weeks
..
65 B. ..
..
. .
Salvarsan.
....
Salvarsan. Negative, 16th June 1913.
..
....
2
..
..
..
66 N. M. .. ..
..
Do.
....
Do.
Do.
1st July 1913. ..
....
2
..
..
..
67 D. N.
.. ..
27th June
1913.
Positive, weak, 17th July
1913.
..
....
..
....
1 3 weeks ..
..
..
68 K.
..
.. ..
4th
July
1913.
Positive, trace, 22nd July
1 913 .
..
....
..
....
1 2 weeks ..
..
..
69 G. ..
..
..
4th
July
1913.
Positive, weak, 26th July
1913.
..
....
..
....
1
3 weeks ..
..
..
TABLE—cont.
Number .
Name.
Date of blood
examination
with result
before
salvarsan.
Date of first
salvarsan.
Date of blood
examination after
salvarsan with result.
Date of
second
salvarsan.
Date of blood
examination after
salvarsan with result.
Date of
third
salvarsan.
Date of blood
examination after
salvarsan with result.
Remarks.
N u m b e r o f i n j e c - t i o n s .
D u r a t i o n i n w h i c h p o s i t i v e r e a c t i o n w a s m a i n t a i n e d .
P e r i o d w h i c h e l a p s e d a f t e r f i r s t i n j e c t i o n t o o b t a i n a n e g a t i v e r e a c - t i o n .
Rel apse.
70 E. D. F.
..
. .
Neosalvar-
san.
. . . .
Neosalvar-
s a n .
. . . .
Ne
osal-varsan.
Negative,
3rd
July
1913 and 7th August
1913.
3
. .
. .
. .
71 A.
. .
4th
July
1913.
Negative, 7th August
1913.
. .
. . . .
. . . .
1
. .
4 weeks
..
. .
72 W.
..
..
. .
6th
July
1912.
. . . .
3rd Au gust
1912.
Negative, 7th August
1912.
. .
. . . .
2
. .
Do.
. .
73 L. R K.
..
. .
Salvarsan.
Positive, trace, 16th Sep-
tember 1913.
. .
. . . .
. .
. . . .
1
. .
. .
. .
74 Pt.
..
..
. .
Do.
....
Salvarsan.
. . . .
Salvarsan. Positive strong ..
..
3
. .
. .
. .
75 C. V. S...
.
. .
22nd Sept.
1913.
Positive, moderate, 18th
October 1913.
. .
. . . .
. .
. . . .
1 4 weeks
. .
. .
76 T.
..
. .
. .
8th October
1913.
Positive moderate, 23rd
October 1913.
. .
. . . .
. .
. . . .
1
2 weeks
. .
. .
77 J . W. R...
. .
Salvarsan. Negative, 23rd October
1913.
. .
. . . .
. .
. . . .
1 ..
. .
. .
78 G.
..
..
. .
Do.
Positive, weak ..
..
. .
. . . .
. .
. . . .
1
. .
. .
. .
79 K .
.. ...
. .
Salvarsan
(1911).
. . . .
Seven injec-
tions (1912).
. . . .
. .Positive weak, 6th Nov-
ember 1913.
8
. .
. .
. .
80 A.
..
..
. .
23rd Oct.
1913.
Positive, strong, 6th Nov-
ember 1913.
. .
. . . .
. .
. . . .
1 2 weeks
. .
. .
81 G. N. ..
..
. .
18th Oct.
1913.
Do.
do.
. .
. . . .
. .
1
3 weeks ..
. .
. .
82 G. W. S.
..
. .
Salvarsan
(August
1912).
Positive, trace, 6th Nov-
ember 1913.
. .
. . .
. .
. . . .
1 55 weeks ..
. .
. .
83 G.I.
..
.. Positive mo-
derate, 21st
July 1913.
Salvarsan. Positive, moderate, 15th
November 1913.
. .
. . .
. .
. . . .
1
. .
. .
. .
84 R.
.. . ..
Positive,
1st
Nov. 1913.
Salvarsan
(about 7th
Nov. 1913).
Negative, 20th Nevem-
ber 1913.
. .
. . . .
. .
. . . .
1
. .
2 weeks
. .
85 C. P. ..
.. Positive strong,
4th
Sept.
1913.
Salvarsan
(October
1913).
Positive, moderate, 12th
December 1913.
. .
. . . .
. .
. . . .
1 10 weeks ..
. .
. .
86 S.
..
.. Positive strong,
7th January
1913.
Salvarsan.
. . . .
Salvarsan.
Negative, 19th December
1913.
. .
. . . .
2
. .
. .
. .
87 M. N. S.
..
. .
Salvarsan
(2nd week
of
Jan.
1913).
Positive strong, 4th Feb-
ruary 1913.
. .
Positive weak, 24th Feb-
ruary 1913.
. .
. . . .
1 3 and 6 weeks.
. .
. .
35
REPORT
ON THE
WORKING OF THE MICRO-BIOLOGICAL SECTION
OF THE KING INSTITUTE, GUINDY,
FOR THE YEAR 1914.
(WITH APPENDICES.)
MADRAS:
PRINTED BY THE SUPERINTENDENT, GOVERNMENT, PRESS
1915 .
TABLE OF CONTENTS.
Report on the working of the Micro-Biological Section by Dr. F. Maitland Gibson,
MB, B.SC,, Director
...
..
.. ..
..
.. ..
..
PAGE
1
APPENDIX I, —Notes on Vaccine Therapy by Civil Assistant Surgeon M. Kesava
Pai, M.D,..
.. ..
..
..
..
..
..
. .
9
APPENDIX II.—Laboratory Notes by Civil Assistant Snrgeon T. Sitapati Ayyar, L.M. & s. 19
5
TABLE III—cont.
No.
Date of
despatch.
Number
of
preg-
nancy.
History of former
pregnancies.
Notes of foetus.
Remarks.
Result of
Wasser-
mann's
reaction.
Result of
examination.
14
1914.
22nd Mar.
Fifth. The last was placen-
to prævia. Child
born still.
Macerated
...
...
Positive
weak,
No spirochmtes
could be found.
15 12th April ... Third. Natural
...
...
Do.... ...
...
Spirochætes
present in fair
numbers.
16 13th "
... First.
...
Do.
...
...
Positive
strong.
No spirochætes
seen.
17 14th "
... Third. Natural
...
... Beginning
to
get macerated.
...
Positive
weak.
Do.
18 20th "
... Do.
First abortion at six
months.
Second
natural at full
term.
Macerated
...
...
...
Do.
19 7th May ... Do.
First forceps ; second
natural.
Do.
...
...
...
Do.
20 13th "
...
Second. Natural
...
...
Do.
... No history of syphilis in
either parent. Patient
very anæmic.
...
Do.
21 23rd "
...
...
Had several abor-
tions, last macerated
child.
Do.
...
...
Positive
weak.
Do.
22 29th
...
. . . . . .
Do,
...
...
...
Do.
23 29th "
... Fourth. Third child still born
at seven months
gestation.
Do.
...
Positive
strong.
Spirochaetes
present.
24 31st "
... Second. First natural
...
Do.
... No history of syphilis in
either parent.
Positive
weak.
No spirochætes
seen.
.25 23rd June ... Third. Natural...
Do.
... Ulcers on the labia
... Positive
moderate.
No spirochætes
found.
26 6th July ... Fifth. First two children
alive ; third died at
fourth month after
birth and the four-
th on the seventh
day. All previous
labours natural and
at full term.
Do.
...
...
Do.
Do.
27 8th Aug. ... Do.
Natural
...
...
Do.
...
...
....
Do.
.28 12th "
... Do.
First and second
natural ; third abor-
Lion third month.
Fourth still born,
full term.
Do.
...
...
Do.
29 17th "
... Second. First pregnancy pre-
mature.
Macerated
...
...
Do.
30 24th "
... Seventh. All natural ...
...
Do.
...
...
...
Do.
31 28th "
... Third. Natural
...
...
Do.
Do.
32 31st „
... Fourth.
Do.
Do
...
...
Do,
33 3rd Sept. ... Ninth.
Do.
...
Do.
...
...
Spirochætes
present in fair
numbers.
34 17th "
... First.
...
Do
...
Positive race.
No spirochætes
found.
35 21st ,,
... "
...
Slightly macer-
ated, cord dis-
coloured, skin
beginning to
peel off.
A case of eclampsia. Had
six fits in all. Came in
semiconscious. Consider-
able œdema of feet and
puffiness of face. Urine
loaded with albumen.
...
Do.
36 30th "
... Second. First child died at
four months after
birth.
Commencing
maceration.
...
...
Spiroohmtes
present in fair
numbers.
37 ,, ,,
... First.
...
Macerated ...
...
...
Nega tive.
38 5th Oct. ... "
...
Commencing
maceration.
...
...
Do.
39 6th "
... "
...
Macerated ... Patient anaemic ; sores on
the inner surface of the
labia majora.
Labour
complex. Concealed acci-
dental hæmorrhage.
...
Do.
40 19th „
... "
...
Do.
... No history of syphilis
... Positive
moderate.
Do.
41 30th "
... Fifth. Previous pregnancies
natural.
Do.
...
...
Do.
42 2nd Nov. ... Twelfth All natural
Do.
...
...
...
Do.
43 17th "
... First.
...
Do....
...
Spirochetes
present in large
numbers.
7
TABLE 1V.
Number of doses sent out.
1911.
1912.
1913.
1914.
Autogenous vaccines . . .
. . .
854
1,396
1,151
Stock vaccines . . .
. . .
2,150
5,691
5,830
Total . . .
1,600
3,004
7,087
6,981
Two-thirds of the autogenous vaccines were made at the instance of Medical
officers and practitioners in Madras City. One hundred and ninety-three auto-
genous vaccines were supplied as under:—
TABLE V.
(1) For the General Hospital, Madras . . .
60
(2) For the Royapettah Hospital, Royapettah . . .
4
(3) For the Monegar Choultry Hospital, Madras . . .
2
(4) For the Madras Lunatic Asylum, Madras . . .
4
(5) For the Government Maternity Hospital, Madras
. . .
8
(6) For the Station Hospital, Fort St. George . . .
9
(7) For private practitioners or medical officers in their private
capacity in Madras City . . .
41
(8) For hospitals and medical men in the mufassal . . .
65
Total . . .
193
In appendix I, Dr. Kesava Pai classifies the various vaccines made and
discusses some of the more interesting cases and points about them.
I n appendi x I I , Not e I , Ci vi l As s i s t ant Sur geon T. Si t apat i Ayyar , L. M. & S. ,
records the further experience gained in connection with still-births in which
the fœtus is extruded in a macerated c ondition. The object for which this investi--
gation was started, namely, to see if any large percentage of these cases could be
assigned to any definite cause, may be said to have been attained, since it has been
shown that a very large proportion of the fœtuses and a still larger proportion of
the mothers are undoubtedly syphilitic. The work however is being continued
since these fœtuses form the sole source of one of the essential reagents used in
performing the Wassermann Test.
In appendix II, Note II, Civil Assistant Surgeon T. Sitapati Ayyar, L.M. & S.,
also gives some notes on improved methods for the bacterial examination of
water. Some of the results shown are of great interest and will, I think, come as
a surprise to many.
Sera from the Lister Institute, London, and the Central Research Institute,
Kasauli, were stocked in the cold chamber of the Institute and supplied to medical
men on requisition at cost price. A considerable quantity of sera and bacterial
vaccines were supplied to the Hospital Ship " Madras. "
TABLE VI
Sera issued.
Nature of serum.
Total quantity supplied.
(1) Anti-streptococcus serum . . . 347 bottles of 10 cc. each (25 bottles to
the Hospital Ship " Madras ").
(2) Anti-tetanic serum . . . 299 bottles of 10 cc. each.
(3) Anti-diphtheritic serum . . . 139 bottles of 2,000 units each (25 bottles
to the Hospital Ship " Madras").
(4) Anti-dysenteric serum . . .
55 bottles of 20 cc. each (25 bottles to
the Hospital Ship " Madras ").
(5) Anti-venomous serum . . .
6 bottles of 20 cc. each.
(6) Coley's fluid . . .
9 vials of 2 cc. each.
Total . . . 855
3
8
Table VI shows the number and kinds of issues made. Since the outbreak of
the war, it has been almost impossible to obtain anti-tetanic serum, all the
available supplies having been bespoken by the Military Authorities in Europe.
A small quantity of half strength serum was sent out by the Lister Institute,
but no further supplies even of this strength, are likely to be available for some
time. In these circumstances economy of existing stocks becomes very essential,
and it is important to record that excellent prophylactic results have been obtained
at the military hospitals in Europe with very much smaller doses than those
heretofore used. Doses of 2 cc. containing 300 units have been found to give
good results, and, apart from operations on accident cases, even smaller doses
might be sufficient in the cases of minimal infection which alone are to be taken
into account in ordinary surgical practice.
As in previous years large quantities of anti-rinderpest serum and. Hæmor
-raghic septiæmia vaccine have been stored and distributed on behalf of the
Civil Veterinary Department. Recently also consignments of anti-anthrax serum
have been received.
Búildings.— The enlargements to the main building have now been completed,
and sonic of the rooms are in occupation, but effective occupation of the whole
is delayed for want of electrical equipment.
Educational.— Thirty candidates attended the vaccination class in 1914 and all
obtained qualifying marks at the end of the course. A further course of instruction
in the manufacture, care and handling of calf vaccine lymph was given to candidates
for the degree of Bachelor of Sanitary Science. Only two candidates appeared
for this and both passed creditably in an examination on the work of the course.
Research work.—The following papers were published during the year in. the
Indian Journal of Medical Research : —
No. 1—A paper on " The Occurrence of Stygeromyia Maculosa in Madras together
with some observations ou its habits "—by Major W. S. Patton, I.M.S.
No. 2—Paper on " The Examination of the Peripheral Blood of 84 patients suffering
from Kala Azar at the General Hospital, Madras, during the period from 15th June 1912 to
15th July 1913 "—by Major W. S. Patton, I.M.S.
No. 3—Paper on " Some Observations on the salivary secretion of the commoner blood-
sucking insects and ticks "—by Major J. W. Cornwall, and Major W. S. Patton,
I.M.S.
No. 4—A paper on "An Investigation into the Bacteriology of Dysentery in the
Madras Lunatic Asylum "—by Civil Assistant Surgeon M. Kesava Pai, M.D.
A short article on " Recent work in Kala Azar " was also published by
Major W.S. Patton, IMS., in the Book of Tropical Medicine and Hygiene.
A paper on " Medical Entomology, its scope and some. of its economical
aspects " by Major W. S. Patton, I.M.S., was read in the Indian Science Congress
of 1914.
THE KING INSTITUTE OF PREVENTIVE
MEDICINE, GUINDY,
5th _February 1915.
F. M. GIBSON, M.D., B.SC.,
Director.
Order No. 342 L., dated 3rd March 1915.
Recorded.
(True Extract.)
W. FRANCIS,
Secretary to Government.
13
TABLE VI.
Pyorrhœa Alveolaris.
Serial
num-
ber.
Case
num-
ber.
Medical Officer.
Disease.
Vaccine.
Result.
1
48 The District Medical and Sanitary
Officer, Madura.
Pyorrhœa alveo-
laris.
Streptococcus . . . Not known.
2
97
Do. do.
Do.
Do. . . .
Improved.
3
109 The District Medical and Sanitary
Officer, Calicut.
Do.
Do. . . .
No effect.
4
112 The Fourth Physician, General
Hospital, Madras.
Sprue with pyor-
rhœa.
Do. . . .
Improved.
5
113
Do. do.
Do.
Do. . . .
Do.
6
135 Dr. Wilson, Kodaikanal . . .
Pyorrhœa alveolaris.
Streptococcus longus. Marked im-
provement.
7
146
. . .
Do.
Streptococcus brevis. Improved.
8
153 The Superintendent, Medical School,
Royapuram.
Do.
Do.
No effect.
9
170 Sub-Assistant Surgeon K. R. Subrah-
manyam, Municipal
Hospital,
Madura.
Do.
Do.
Do.
10
175
Do. do.
Do.
Do.
Temporary
improve-
ment.
11
178 The Superintendent, Lunatic Asylum,
Madras.
Do.
D o .
Not used.
12
189
. . .
Do.
Do.
Under treat-
ment.
Inflammations of the nasopharynx and ear .—Streptococci, M. Catarrhalis and B. Influenzæ
were the organisms isolated from the discharges. The last organism was isolated from two
cases of pharyngeal catarrh and the autogenous vaccine in each case brought about an
improvement in the catarrhal condition.
Both the M. Catarrhalis and B. Influenzæ were found to be very delicate organisms.
Though seen in large numbers in the microscopic preparations of the catarrhal discharge, the
growth in the culture tubes was comparatively very scanty and the organisms often died out
during the very first sub-cultivation. The M. Catarrhalis grew best on serum agar and the
B. Influenzæ on blood agar. In spite of frequent and careful subplanting in these media, the
organisms died out in a few weeks.
TABLE VII.
Inflammations of the nasopharynx and ear.
Serial
num-
ber.
Case
num-
ber.
Medical Officer.
Disease.
Vaccine.
Result.
1
13
. . .
Otorrhœa . . .
Streptococcus . . .
Not used.
2
17
. . .
Pharyngitis . . .
M. Catarrhalis and
B. Influenzæ.
Improved.
3
28
. . .
Do. . . .
Streptococcus . . .
Doubtful.
4
96 Dr. H. W. McCaullay Hayes, Trichino-
poly.
Chronic nasopharyn-
geal catarrh.
M. Catarrhalis . . .
Not known.
5
108 Dr. C. Mangayya Nayudu, Vizia-
nagram.
Nasopharyngeal
catarrh.
Streptococcus and
Staphylococcus
aureus.
Improved ;
still under
treatment.
6
154 The Resident Medical Officer, General
Hospital, Madras.
Follicular tonsillitis. Streptococcus . . .
Not used.
7
156 The Second Surgeon, General Hospital,
Madras.
Chronic discharge
from right ear.
Do. . . .
Do.
8
160 Major F. Clarence Smith, Madras . . .
Nasal catarrh . . .
B. Septus ? . . .
Not known.
9
164
. . .
Nasopharyngeal
catarrh.
B. Influenzæ . . .
Improved.
10
185 Major F. Clarence Smith, Madras . . .
Chronic sphenoidal
sinus.
Pneumococcus . . .
Not known.
Asthma and Chronic Bronchitis.—The experience of previous years regarding the applica--
bility of vaccine treatment in asthma and chronic bronchitis has been sufficiently confirmed by
20
TABLE I.
N.B.—Explanation of notations used in the table.
+ + + Complete hæmolysis.
+ Slight lysis of a negligible nature.
+ + Partial but leaning towards complete lysis.
- No lysis.
Num-
ber.
Date of
examination.
Name.
Levaditi's.
Original.
Mixed.
Result.
Remarks.
1914.
1 23rd July
D.S. G.H.
+ + +
+
-
Positive
strong.
...
...
+ + +
+ + +
-
+++
+++
-
+ + +
+ + +
+
2
Do.
... G.N. G.H, ...
-
-
-
Do.
Secondary syphilitic rash and ulceration.
-
-
-
-
-
-
-
-
-
3
Do.
L. G.H.
_
+
-
Do.
-
-
+
-
-
++
-
-
+ +
+
4
Do.... M. G.O.H. ...
-
+ + +
-
Do.
Denies history. Suspicious soars on both
shins. Hard shotty glands inguinal and
cervical.
-
+ + +
-
+ + +
+ + +
-
+ + +
+ + +
+
5
Do.
.. Mrs. H. G.O.H.
+
+ + +
-
Do.
-
+++
-
+ + +
+ + +
-
+ + +
+ + +
+
6
Do.
. K.
...
...
-
+ + +
-
Do.
-
+++
-
+++
+++
+ + +
+ + +
+
7
Do.
... S.
...
...
+ + +
-
-
Do.
Denies history. Number of ulcers resem-
bling ru pia treated. Retinal arterio sole-
rosis with failing vision lately.
+ + +
-
-
+ + +
-
-
+ + +
+ +
-
8 1st Aug. ... G.P. G.O.H. ...
-
+ -
+ +
-
Do.
Had injection of salvarsan ; vision and
general health improved.
-
+ + +
-
-
+++
-
+ +
+ + +
+
9
Do.
... R. Mt. C.H. ...
-
+ + +
-
Do.
-
+++
-
+
+ + +
-
+++
+++
+
10
Do.
... R. G.O.H, ...
-
+ + +
-
Do.
Gonorrhoea. Sore and rash two years ago.
Cachexia and a number of rupia.
-
+ + +
-
+
+ + +
-
+ ++
+++
+
11
Do,
B. G.H.
+ + +
+ + +
+
Positive
mode-
ate.
+ + +
+ + +
+
+ + +
+++
+
+ + +
+ + +
+ +
12
Do.
... K. M.H.
..,
+ + +
+ +
-
Positive
strong.
+ + +
+ +
-
+ + +
+ + +
-
+ + +
+ + +
-
13
Do.
M.M. M.H. ...
+ + +
+ + +
-
Positive
moder
-
ate.
+++
+++
-
+ + +
+++
-
+ + +
+++
++
14
Do.
... V, c/o Dr. P ...
+ + +
+ + +
-
Positive
weak.
+++
+++
-
+ + +
+ + +
+ + +
+ + +
+ + +
+ + +
15
Do,
C. c/o S.E. ...
+ + +
+ + +
-
Positive
strong.
Has several whitish patches. Some of them
anmsthetic but no leprm bacilli could be
seen in any of them. Aged ten years.
+ + +
+ + +
-
+ + +
+ + +
-
++ +
+ + +
+
16 31st Aug.... G. G.H.
...
+ + +
+ + +
-
Positive
weak.
Ulcers lower part of septum of nose on both
sides, duration four months ; said to be
caused by barber's razor.
+ + +
+ + +
-
+ + +
+ + +
+ + +
+ + +
+ + +
+ + +
17
Do.
... N. G.H.
...
+ +
+ + +
-
Positive
moder
-
ate.
+ +
+ + +
-
+ +
+ + +
+
+ + +
+ + +
+ + +
18
Do.
... H. G.H.
. . .
+ + +
+ + +
+
Positive
trace.
+ + +
+ + +
+ +
+++
+++
+++
+ + +
+ + +
+ + +
19
Do.
D....
...
+ + +
+ + +
+
Positive
trace.
Aged 35.
History of sore about five years
ago, followed by secondary symptoms
about five months after. Has now gumma.
like swellings.
+ + +
+ + +
+ +
+ + +
+ + +
+ + +
+ + +
+ + +
+ + +
21
TABLE I—cont.
Num-
ber.
Date of
examination.
Name.
Levaditi's. Original.
Mixed.
Result.
Remarks.
1914.
20 31st Aug. ... M. G.H.
...
+
+ + +
+
Positive
trace.
Facial paralysis left side, with history ten
years ago.
+ + +
+ + +
+ +
+++
+++
+++
+++
+++
+++
21
Do.
... S. c/o Dr. T.S.
+ + +
- Positive
mode-
rate.
Sycosis leg.
+ + +
+
+ + +
+
+++
++
22
Do.
... K. ...
+ + +
-
-
Positive
weak.
+ + +
+ +
+
+++
+++
++
+++
+++
+++
23
Do.
... H. c/o Dr. P
+ + +
+ + +
+
Positive
trace.
+++
+++
++
+ + +
+ + +
+ + +
+++
+ + +
+++
24
Do,
... R. G.H,
...
-
+ +
-
Positive
strong.
-
+ + +
-
-
+++
-
-
+++
-
25
Do.
... M.
...
...
+ +
+ +
+
Positive
weak.
No history. Septum of nose perforated and
eaten away. Palate arched. Patient has
had severe pain in the nose for the last six
months.
+ +
+ +
+
+ +
+ +
+ +
+++
+++
+++
26
Do.
... D. G.O.H. ...
-
+ + +
-
Positive
strong. 1
-
+ + +
-
-
+++
-
-
+ + +
27.
Do.
... C.
...
...
-
+ + +
-
Do.
Do.
History of primary sore, etc., for the last
ten years. Abscesses and ulcers appear
to be gummatous.
Two years ago gonorrhoea and buboes. No
sore nor any eruption on body. No sore
throat Growth surrounding anus looking
like conclyloma.
-
+ + +
-
-
+ + +
-
-
+ + +
-
28 9th Sept. ,.. A.
...
.
-
+
-
-
+
-
-
+
-
+ +
+
-
29
Do.
... M. G.O.H. ...
+ + +
+ + +
+
Do.
No history. Advanced choroidal atrophy
suspicious.
+ + +
+ + +
+
+++
+++
+
+++
+++
+
30
Do.
... M. G.H.
...
-
+ +
-
Do.
Locomotor ataxy.
-
+++
-
+
+++
+
+++
+++
+
31
Do.
... C.T. G.O.H. ..
+ + +
+ + +
+
Do.
Five years ago acquired syphilis in finger ;
surgical ; rash sore throat. Tenderness
of shins. Active treatment with mercury
and potassium iodide. Last symptoms in
1910 July. Fibrositis left ankle. Wasser-
mann negative in November 1911. Present
slight wasting of left calf and diminution
of nasal field of vision right eye.
+ + +
+ + +
+
+ + +
+ + +
+
+ + +
+ + +
+
32
Do.
... M. G.O.H. ...
-
-
-
Do.
Clear history of one year. Iritis occlusion
of pupil.
-
-
-
-
-
-
+
-
-
33
Do.
S. c/o Dr. T.S.
+ + +
+ + +
-
Positive
mode-
rate.
+++
+++
-
+ + +
+++
+
+++
+++
+++
34
Do.
... J, G.H.
..
+
+
-
Positive
strong.
+ + +
+
-
+ + +
+ +
-
+++
+++
+
35
Do.
... L. M.H.
...
+ + +
+ + +
+
Positive
mode-
rate.
No history. Confined a still-born f oetus.
Previous births natural.
+ + +
+ + +
+
+ + +
+++
+
+++
+++
++
36
Do.
D. 1st Dt, ...
-
-
-
Positive
strong.
No history. Suppurating bone cavity in
head of left tibia. Old scars of gummata
on face and other parts of the body.
...
-
-
-
-
+
-
- -
-
37
Do.
... C. L.A.
...
+ + +
+ + +
+
Do.
+++
+++
+
+++
+++
+
+++
+++
+
38
17th Sept.... Mrs. D.S. G.H.
+
-
-
Do.
Pustular rash on both legs, left fore arm
and right buttock. On scratching blisters
and pigmented areas form. Inguinal
glands enlarged. Suffering from sore throat
during pregnancy. Borne five children
who have had the same complaint.
+
-
-
+ + +
-
-
+ + +
-
-