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(vi) Cysticercosis with convulsions was seen in a case in Lahore. He
had been brought up in India, enlisted here and served here over 4 years.
X-ray examination showed numbers of calcified cysts deep in the musculature
of arms and legs.
(vii) Glandular fever.—A case was reported from Cherat with enlarged
glands of neck, axillae and groins, and enlarged liver and spleen. Laboratory
results were positive for Hetrophile antibodies. He recovered with sympto
-matic treatment.
(viii) Anterior poliomyelitis occurred in acute form a number of times.
At Murree-Rawalpindi an improvised iron lung was made for one case which
succeeded for 50 hours and brought another case from Peshawar to Rawalpindi.
Further models of iron lung have been made from Tar-barrels and now a
good model has been designed at the Rawalpindi Arsenal for retention at main
hospitals while a portable all wooden Breathing machine has been devised for
transport of cases by plane or ambulance car.
(ix) Oriental sore.—8 cases were treated at Mir Ali with most gratifying
results by means of copper sulphate and lactic acid solution. Treatment of
cases by scraping and prontosil was not successful.
(x) The Sulphapyridine-group of Drugs .—Officers Commanding hospitals
were again asked to include comments on these in their transactions. All
hospitals where cases of pneumonia and gonorrhœa have been treated are
unanimous in testifying to the efficiency of M. & B. 693 in the treatment
of these conditions. For example in 11 cases of lobar pneumonia the average
time for defervescence was 3 days followed by uninterrupted recovery. One
case, which was unconscious, was given an injection of soluble M. & B. 693
and was able to take it orally immediately afterwards. The drug was not so
successfully used in Broncho-pneumonia.
For gonorrhœa M. & B. 693 was extensively used, larvage being unneces
-sary. The average stay in hospital varies from 14 to 17 days and will probably
be made shorter. From Dharamsala comment is made that there is always a
decrease in total W. B. C. after treatment. No case was given M. & B. 693
in which the W. B. C. count was less than 6,000. Daily counts controlled the
dosage which was stopped if the count fell below 5,000.
Every imaginable type of case has received treatment with this group of
drugs and it is now time that a sane use of the drug for those cases in which it
is known to be effective should be the order. In addition of course the question
of adequacy of supplies of the drug during the war becomes of importance and
reasonable economy is imperative.
One or two special cases are worth mention: a British officer desperately
ill with pneumonia miraculously cured with M. & B. 693; an I. 0. R. with
meningitis (organism not isolated); cases of pneumonia, British and Indian,
with cures almost phenomenal and cases of acute streptococcal infections.
A feature of the treatment is the necessity for the adequate lighting of
wards when these drugs are being used owing to the need for accurate observa
-tion of the resulting cyanosis.
A case of gonorrhœa, which remained in hospital 71 days, is of interest
in that after some considerable time without any success from sul honamid
treatment it was discovered that he had been systematically "sunbathing".
Suns rays are quoted as having a counter effect to the action of the drug.
When his sun bathing was stopped his condition cleared up.