Obscure Irregular Continued Fevers of the "Typhoid" Group

subject may be taken to leave no doubt that natives of this country not only do get the disease, going through the usual clinical course, but also that the nature of the disease can be verified both bacteriologically and when occasion arises by the examination of the enteric lesions post-mortem. Dr. Childein a paper1 read before this Society in 1902 brought forward conclusive evidence to show the presence of enteric fever in Bombay from a series of his cases, where he applied Widal's test to support his clinical diagnosis. In 1899 I had an opportunity of bringing to the notice of the profession8 some positive agglutination reactions with B. Typhosus while investigating the part played by soils in the aetiology of enteric fever in Bombay. These facts do not concern directly with the subject of the present paper, but a reference to these has had to be made here because of their bearing on a set of fevers of a continuous type familiar to Bombay?fevers characterised by their atypical and irregular course, running on for 7,11,14, or 21 days, or even 4 to 6 weeks with pronounced abdominal and later on tj'phoid symptoms, with no definite physical signs to guide one, and where even blood examination baffles the observer as to the nature of the case, and throws no light beyond that the blood is sterile, and that it is free from malarial, relapsing