Page:Transactions of the Royal Society of Tropical Medicine and Hygiene, volume 1.djvu/319

 Dr. F. M. Sandwith said the cases he had seen of dhobie itch, although they might perhaps have been mild in character, had generally yielded to the application of Vleminckx's solution. He noticed in the list of fungi which Dr. Castellani had given that mycetoma was mentioned. He (Dr. Sandwith) wished to ask him whether Madura foot was prevalent in Ceylon, whether he had seen the varieties, red, yellow, and black, and whether the disease invariably occurred in the foot. When he first saw Maduia foot in Egypt he did not recognise it, but Mr. Milton correctly diagnosed the second case, and since then many patients had been admitted to hospital. Tn one instance there was an opportunity for a, 'post-raovtem. As treatment by amputation was usual, it should be noted that in that case mycetoma extended up the tibia. There was also at the Tropical school a photograph of mycetoma in the groin. He had never seen or heard of a similar case ; so far as he knew, the disease was usually confined to the foot, although it was rarely seen on the hand and breast in India.

Dr. Graham Little inquired whether Dr. Castellani used the same test medium in all examinations, and whether the separation of the various classes of Tinece was founded on cultural characteristics only? He also wished to ask whether the various Tinece were found in domestic animals, and whether the author had had any opportunity of observing for how long the infection could be carried by the scales. Was it, for instance, possible to take scales from patients for the purpose of observation at home? and would the fungi be found alive some months after the specimen had been taken from the patient?

The President congratulated Dr. Castellani on being one of the most successful investigators of epiphytic skin disease in the Tropics. He hoped the author would con-