Epidemic Encephalitis

IMEDRUL JOUIRNAZ 46 the fever ceased within the same period of tinme. The imninediate results of the injection of the cinchonine salts were tlhus very satisfactory, and will be found to compare favourably, especially as regards the more serious nmalignant tertian variety, witlh those of administering quinine by various methods in tlle army in England as reported by J. W. W. Steplhens and hiis colleagues.4 Witlh regard to relapses the patients could not be kept in llospital long enouglh to furnislh com-iplete data. Four were discharged free from relapses on from the fifthl to tlle twenty-fourtlh day, while in other cases after from one to four injections relapses were recorded from between the sixth to tlhe thirtv-third days, very much in the same way as in the army cases after similar quinine treatment. I did not use the cinclhonine salts witlh the object of or expectation of preventing relapses by a few injections, but in order to rapidly control the fever and cause the parasites to disappear from the blood, after wliclh a prolonged course of oral administration of quinine is indicated to prevent a recurrence of the fever.