CHANCRE DEVELOPING FOUR DAYS AFTER SALVARSAN INJECTION

History.  —February, 1905, J. B. came to me suffering with an indurated sore on the penis, which had persisted for nearly three weeks. There were a double inguinal adenitis, extensive macular eruption and patches in the mouth and on the tonsils. A diagnosis of syphilis was made and the patient given the inunction treatment. For three years he religiously followed the treatment which consisted of inunctions at first, followed later by mercurial injections and at varying intervals mercury by the mouth.March, 1910, the patient returned with the history that for two years he had done nothing in the way of treatment for his syphilis, He had been absolutely free from any symptoms and enjoyed good health. He weighed 190 pounds which was 20 pounds more than he Weighed before contracting the disease. He consulted me as to the advisability of having a Wassermann test, having read of the infallibility