7
weeks' illness patient was sent on sick leave, the temperature not yet having
come to normal. There were no other prominent symptoms.
The serum was examined as regards its agglutination reaction with M.
Melitensis at the beginning of the third week. The following was the result:-
Dilution of serum. | Stock. | Multan I. |
1—40 | Complete sedimenta-tion. | Complete sedimenta-tion. |
1—80 | Complete ,, | Complete ,, |
1—120 | Complete ,, | Complet ,, |
1—240 | Trace of ,, | Well marked ,, |
1—480 | No ,, | Trace of ,, |
1—960 | No ,, | No ,, |
Blood was with drawn from the spleen at the beginning of the fourth week.
Agar tubes sown with this blood gave a pure growth of M. Melitensis (Multan IV).
Case V.—Secunder Khan; aged 27, Sepoy, 27th Punjabis, Multan.
Patient was admitted into hospital on 20th March 1905 suffering from fever
and bronchitis. The bronchitis soon passed off, but the fever, which was mark-
edly intermittent (vide chart V) continued. The temperature came to norma
about the beginning of the fourth week and the patient was shortly afterwards
sent on sick leave.
The agglutination reaction of the serum with M. Melitensis, tested at the
end of the third week, was as follows:—
Dilution of serum. | Stock. | Multan I. |
1—80 | Complete sedimenta-tion. | Complete sedimenta-tion. |
1—160 | Complete ,, | Complete ,, |
1—320 | Complete ,, | Complete ,, |
1—640 | Complete ,, | Complete ,, |
1—1280 | Well marked ,, | Complete ,, |
1—2560 | Trace of ,, | Trace of ,, |
1—5120 | No ,, | No ,, |