suitable for the condition and
1 gm. sulfadiazine
prescribed four-hourly along with copious glucose drinks. Belladonna plasters were applied locally. Dihydrostreptomycin sulphate could be procured next morning and 0.5 gm. in 2 cc. normal saline was injected at 9 a.m. on 5th September, 1949. At 9 p.m. I saw her again. She appeared better in all respects and her axillary temperature was 103 ?F. 0.25 gm. dihydrostreptomycin in 2 cc. normal saline was repeated at 9 p.m. and continuation of the per dose
was
mixture and other treatment copious fluid intake.
complicating enteric FEVER
By P. K. GHOSH, m.b. Seksaria Sugar Mills Ltd., Babhnan both serious diseases treatment they take a The seriousness, lives. heavy toll of human when these two maladies combine in one
Typhoid and plague are spite of up-to-date
ancl in
^dividual, ^
can
be well
imagined.
Recently, I had to treat such
here
case in a village consultation with
a
any laboratory help other doctor is rather a matter of dreams. uncase, however, was saved rather expectedly in a very short time with dihydrostreptomycin sulphate and sulfadiazine. or
aijy *he
The village Babhnan market (District Basti) \as been an endemic area for plague for a long
time. Most of the inhabitants are not inoculated and the locality is very unhygienic, dirty and
dingy.
All the different forms of plague here, bubonic variety dominat-
are encountered
lng others.
A Hindu
girl, aged
13 years, enteric
was
being treated
4th fever. On September, 1949 (19th day of illness), her axillary temperature shot up to 106?F. in the with restlessness and incoherent talks. er condition became worse in spite of measures adopted by the hakim and I was called in to See the case at 6 p.m. on the same afternoon.
2^
hakim
a
for'
looming She
was
found to be
textbook
a
case
of enteric
extending to the typical jever lQwer abdomen. She was highly toxsemic, almost ^conscious with hurried pulse and respiration rate, axillary temperature of 106 J. and ? andular swelling with rubor and dolor both ln the cervical and the inguinal regions, without with the
rash
'
any apparent tion.
cause
to account for-the inflamma-
She Uer
was given a glycerine enemata to relieve bowels constipated all these 19 days. Ice
einS
unavailable, Eau-de-Cologne water was on the forehead. Diaphoretic mixture
applied
advised with
Surprisingly enough, she was found to be (97.2?) with extreme weakness and Injection was' withheld and prostration. stimulants were given. She recovered in no time and continued making steady progress and her subsequent treatment needs no comment, afebrile
PLAGUE
was
1 gm. sulfadiazine
prescribed four-hourly along with copious glucose drinks. Belladonna plasters were applied locally. Dihydrostreptomycin sulphate could be procured next morning and 0.5 gm. in 2 cc. normal saline was injected at 9 a.m. on 5th September, 1949. At 9 p.m. I saw her again. She appeared better in all respects and her axillary temperature was 103 ?F. 0.25 gm. dihydrostreptomycin in 2 cc. normal saline was repeated at 9 p.m. and continuation of the per dose
was
mixture and other treatment copious fluid intake.
complicating enteric FEVER
By P. K. GHOSH, m.b. Seksaria Sugar Mills Ltd., Babhnan both serious diseases treatment they take a The seriousness, lives. heavy toll of human when these two maladies combine in one
Typhoid and plague are spite of up-to-date
ancl in
^dividual, ^
can
be well
imagined.
Recently, I had to treat such
here
case in a village consultation with
a
any laboratory help other doctor is rather a matter of dreams. uncase, however, was saved rather expectedly in a very short time with dihydrostreptomycin sulphate and sulfadiazine. or
aijy *he
The village Babhnan market (District Basti) \as been an endemic area for plague for a long
time. Most of the inhabitants are not inoculated and the locality is very unhygienic, dirty and
dingy.
All the different forms of plague here, bubonic variety dominat-
are encountered
lng others.
A Hindu
girl, aged
13 years, enteric
was
being treated
4th fever. On September, 1949 (19th day of illness), her axillary temperature shot up to 106?F. in the with restlessness and incoherent talks. er condition became worse in spite of measures adopted by the hakim and I was called in to See the case at 6 p.m. on the same afternoon.
2^
hakim
a
for'
looming She
was
found to be
textbook
a
case
of enteric
extending to the typical jever lQwer abdomen. She was highly toxsemic, almost ^conscious with hurried pulse and respiration rate, axillary temperature of 106 J. and ? andular swelling with rubor and dolor both ln the cervical and the inguinal regions, without with the
rash
'
any apparent tion.
cause
to account for-the inflamma-
She Uer
was given a glycerine enemata to relieve bowels constipated all these 19 days. Ice
einS
unavailable, Eau-de-Cologne water was on the forehead. Diaphoretic mixture
applied
advised with
Surprisingly enough, she was found to be (97.2?) with extreme weakness and Injection was' withheld and prostration. stimulants were given. She recovered in no time and continued making steady progress and her subsequent treatment needs no comment, afebrile
PLAGUE
was
