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♦Holler Ztsch. klin. Med., p. 462, .August, 1915. 15 14 93 Vincent's vaccine. 100 million tjphsid bacilli. 3 1 cialis v viagra review f 1 "■ Besredka's vaccine. 2:)0 million cialis v viagra review typhoid bacilli, and Vincent's vaccine. 100 million typhoid bacili. ♦Majority of cases received two or more injections. instances of recovery in which the disease appar- ently ran its usual course uninfluenced by the in- travenous injection of vaccine are not recorded as "Cured." The percentage mortality in itself offers hut little cialis v viagra review evidence as to the danger or efficacy of the treatment, as it will necessarily vary according to whether only mild cases, only severe cases, or all types of cases are subjected to the injections. The highest death rate, 23 per cent., was observed by Paulicek. His patients were soldiers who had suf- fered from severe cialis v viagra review exposure in cold weather, and they died in most instances from a complicating pneumonia. The high mortality of cialis v viagra review 23 per cent, rep- resents, he says, a reduction by 20 per cent, from what was obtained without the injection of cialis v viagra review vac- cine. It has already been mentioned that the death rate in Ichikawa's control cases was more than twice as high as in the treated cases. Of far greater importance than the percentage mortality is the question as to how many, if any, of the deaths could be attributed directly to the action of the vaccine. Five cases (treated by Boral, by Csernel and Marton, by Lowy, Luksch and Wilhelm, and by Paulicek) showed intestinal hemorrhage fol- lowing the injection and terminated fatally. One case (of Sladik and Kotlowski) resulted fatally from hemorrhage into the cialis v viagra review thyroid gland. One of Eggerth's patients developed a hemorrhage from the lungs and died three hours after viagra logo the injection. One of Biedl's had hemorrhage from the nostrils before the intravenous injection of vaccine was given: after the treatment the hemorrhage recurred and could not be stopped. All these persons may have died from hemorrhage viagra logo induced by the injection. This suggests that hemor- rhage should serve as a contraindication to the use of vaccine intravenouslv. 650 MEDICAL RECORD. [Oct. 16, 1915 Koranyi attributed one of his deaths to the vac-