13
APPENDIX.
NOTES ON VACCINE THERAPY.
By Civil Assistant Surgeon M. Kesava Pai, M.D.
Furunculosis.—There were comparatively few cases of furunculosis treated with autogenous
vaccines during the year. Of the 10 cases, 3 were cured, 3 improved and in the remaining
four, the vaccine was not used or the result was not reported. The three cases that showed
signs of improvement without being cured were of the obstinate type characterized by crops
of boils coming on almost all the year round irrespective of the season. A change to
Bangalore or to the Nilgiris brought about a decided improvement in the condition of these
patients preventing further crops of boils. Immediately they returned to the plains, the
trouble started afresh, but could then be kept in check by the vaccine injections without
however being completely cured.
TABLE I.
Furunculosis.
Serial
num-
ber.
Case
n u m -
ber.
Medical Officer.
Disease.
Vaccine made.
Result.
1
16
. . .
Recurring boils . . .
Staphylococcus
aureus.
Improved.
2
46 The Second Surgeon, General Hospital,
Madras.
Boils on neck . . .
Do.
Not known.
3
42 The Superintendent, Government
Maternity Hospital, Madras.
Boils . . .
Do.
Do.
4
60 Dr. A. Degenring, Nellore . . .
Do. . . .
Do.
Cured.
5
66 The Superintendent, Government
Maternity Hospital, Madras.
Multiple boils on
face.
Do.
Do.
6
71
Do. do.
Boils . . .
Do.
Do.
7
79 The District Medical and Sanitary
Officer, Cuddalore.
Do. . . .
Do.
Improved.
8
101 The Superintendent, Government
Maternity Hospital, Madras.
Do. . . .
Do.
Not used.
9
110
. . .
Do. . . .
Do.
Improved.
10
130 The Staff Surgeon, Fort St. George . . . Boils on face . . .
Do.
Not yet
reported.
Eczema, Pemphigus and skin eruptions .—Most of the cases treated under this heading
were the usual streptococcal infections of the skin comprising 'pemphigus.' There was an
outbreak of this aflection amongst the European troops at St. Thomas' Mount, as happened
during the previous year also. A stock pemphigus streptococcus vaccine was used for all the
cases and proved sufficient to cure the majority of them. A few that resisted the stock
vaccine had to be treated with the autogenous and the result was very satisfactory.
TABLE II.
Eczema, pemphigus and skin eruptions.
Serial
num-
ber.
Case
num-
ber.
Medical Officer.
Disease.
Vaccine made.
Result.
1
14 The District Medical and Sanitary
Officer. Ganjām.
Eczema . . .
Staphylococcus
aureus.
Cured.
2
15 The Officer Commanding Section
Hospital, St, Thomas' Mount.
Pemphigus . . .
Streptococcus . . .
Do.
3
17 The District Medical And Sanitary
Officer, Trichinopoly.
Do. . . .
Streptococcus and
staphylococcus.
Not known.
4
25 The Offcer Commanding, Section
Hospital, St. Thomas' Mount.
Do. . . .
Streptococcus . . .
Much im
-proved.
5
26
Do. do.
Do. . . .
Do. . . . Do.
6
59 Dr. C. Sumukan, Calicut . . .
Chronic eczema . . .
Streptococcus and
Staphylococcus
aureus.
No effect.
7
77 The Superintendent, Medical School,
Rayapnram.
Sycosis . . .
Staphylococcus
aureus.
Cured.
8
102 The District Medical and Sanitary
Officer, the Nilgiris
Ulcer in leg . . .
Do.
Not given a
fair trial.
9
105 Dr. R Menon, Coimbatore . . .
Sycosis . . .
Do.
I m proved.
10
132 Major C. A. F. Hingston, I.M.S., Pan-
theon Road, Egmore.
Pemphigus . . .
Streptococcus . . .
Not yet
reported.