NTESTINAL ANTISEPSIS IN ENTERIC FEYER BY MEANS OF SUB- 
IODIDE OF BISMUTH AND SALOL. 
BY J. D. FARRAR, B. A., M. D., OF BALTIMORE. 
Ex-Kesident Physician to the Coope r Hospital, Camden, N. J., Out-Patient Surgical Staffs of the 
City and Child’s Hospital. 
Case I. L. F., age 1?, single, laundress, was admitted to the hospital Octo- 
ler 2, 1891, suffering with diarrhoea, vertigo, disordered digestion, headache, 
oistaxis, disturbed sleep, depression and muscular weakness, followed by a chill. 
J rev ions to being admitted, the patient had six bowel movements during the 24 
lours, with considerable pain in the abdomen. ri.he movements were quite 
offensive and very dark. October 29, 1891, discharged cured. 
Case LI. 0 j., age 11, Swede, male, schoolboy, admitted October 17, 1891, 
suffering with anorexia, headache, vertigo, disordered digestion, disturbance dur. 
iig sleep, and muscular weakness. The tongue had the characteristic typhoid 
appearance, bowels were loose and quite offensive. He also had acute attack of 
laryngitis. Discharged cured December 1, 1891. 
Case III. W. T., age 36, male, married, shoemaker, admitted to the 
hospital October 25, 1 891, complaining of dizziness, abdominal pains, muscular 
weakness, diwrhcei. n msea, vomiting, soreness of lower extremities, bowels 
quite offensive, tongue characteristic typhoid appearance. Before being admitted 
to the hospital, had been treated for three weeks for malaria. November 30, 
1891, discharged cured. 
Case IV.—\V W., age 18, laborer, male, Ireland, single, came to the hospital, 
October 31, 1891, suffering with nausea, diarrhoea, anorexia, vomiting, epistaxis; 
muscular weakness, abdominal pains; tongue characteristic typhoid appearance, 
bowel movements were quite offensive and dark in character, had retention of 
urine for two weeks, when he had to be catheterized morning and afternoon. 
Before admission had been complaining of a tired feeling for two weeks. Decem- 
ber 2, 1891, discharged cured. 
Case.V—E. Gr., age 21, England, driver, single, male. This case was ad- 
mitted to the hospital. November 7, 1891, suffering with a chill, high fever, 
diarrhoea, headache, epistaxis, anorexia, pain on micturition, abdominal tender- 
ness, bowels quite offensive; was first taken sick three weeks before admission, 
but had only been confined to the bed three days when he was discharged 
cured on November 30, 1891. 
Case VI.—C. W., age 19, single, male, N. J., laborer. When first taken sick 
he began to suffer with headache, diarrhoea, languid feeling, anorexia, abdominal 
pains; tongue showed characteristic typhoid appearance, bowel movements were 
quite offensive and frequent; discharged cured November 30, 1891. 
Remarks.—The test of accomplishment of intestinal antisepsis is the deodori- 
zation of the stools. This method of treatment certainly seems to reduce tym- 
panites, control diarrhoea, and prevent haemorrhage, the latter complication 5ie- 
ing rare when the antisepsis is early secured and persistently maintained. This 
treatment will modify the severity if it does not limit the duration of the dis- 
ease. Our rule is to begin the administration of the drugs mentioned alter- 
nately whenever diarrhoea exists, and to continue the same throughout the disease, 
aiming to keep the stools thoroughly disinfected. Twenty-four cases have been 
tins treated in the hospital, and the foregoing is the recommendation of the 
outcome of a study of the results thereby obtained given in five grain doses 
every three hours. The subiodide of bismuth to be given in a mixture contain- 
iig simple syrup and elixir of cinchona and to be shaken up thoroughly before 
ising. 
Reprinted from the Maryland Medical Journal, February 25th, 1893.