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M. M. aet 5. Symptoms same as those of J.M., except that
there was no Otorrhoea and the cervical glands were considerably enlarged
at time of onset—April 19th. Last seen 4th May—all symptoms subsided.
L. M. aet 6. Symptoms as in the case of M.M. Jaundice, etc.,
first noted April 23rd. Last seen May 4th—all symptoms subsided.
D. M. aet 3. First seen May 9th, 1927. Onset May 7th, 1927,
with headache, fever and cervical glands enlarged and tender. Vomited
during the night and following day. Jaundice symptoms as in previous
cases; abdominal pains for 3 days. 11-5-27, Icterus less marked—
T.99:2, pulse 114. Had Otorrhoea since 1-5-27. 16-5-27, Icterus
disappearing, urine and motions almost normal; Adenitis and Otorrhæa
present. Another child in the family, aet 1½ years, was not affected.
The house occupied by the family is clean and in good sanitary condition.
Food stored in a cupboard for lack of a larder. No rats in the house
but a good many mice. All water and milk consumed by the children
boiled. Specimens of blood examined by a Pathologist threw no light
upon the cause of the disease.
D. C. aet 6. August 21st, jaundice and vomiting. All symptoms
subsided at end of one week.
H.C. aet 7. Sickened August 26th with headache, severe vomiting
and jaundice. Three weeks later symptoms had disappeared.
Mrs. R.C., 26 yrs. Onset September 18th with rigor, headache,
vomiting, followed by jaundice—complaint also of vertigo. Patient was
suckling infant of 6 months during the 3 weeks of her illness. The child
remained in good health.
Billy C. 4. This child was observed to be jaundiced 3 weeks after
the onset of the mother's illness, but was not ill. Clay-coloured stools
and bile-pigmented urine were common to all 4 cases. The water consumed
was from the M.W.B. main.
Investigations with regard to the presence of rats on the premises
met with negative result. No other persons residing in the vicinity of
the C. family were reported to be suffering from similar symptoms.
All the evidence in both series of cases points to the infection having
been conveyed from person to person.