578 
which patients are never comfortable in the recumbent position. ‘These 
pains may last for years after the disappearance of the disease or they 
may recur, particularly after exposure to cold or after violent exercise. 
The writer was, for more than a year after recovery from amcebic infec- 
tion, troubled with these pains, and even now, more than five years 
since the original disease, a chilling of the abdomen, a slight diarrhoea, or 
an active cathartic will cause a recurrence of some pain. Treatment of 
the condition is not, as a rule, satisfactory. Carefully regulated exercise 
and massage may hasten the adjustment to new conditions and, some- 
times with splanchnoptosis, proper bandages and corsets might advance 
a favorable result. 
A considerable number of diseases and conditions already discussed 
under complications, particularly those appearing late in the disease, 
show their most decided results as after effects of amebiasis. Among 
these are different types of gastro-intestinal disturbances in addition to 
sprue, chronic rheumatism, various disturbances of the nervous system, 
genito-urinary system, skin, etc. Therefore, the after picture is a very 
varied one; complete restoration to health is the most frequent outcome, 
but many of these cases go through life crippled by every complication 
which may be seen in other chronic, wasting diseases. The patients for 
the greater part disappear from the Tropics, but an extensive visit 
throughout the United States and careful scrutiny of our increasing 
pension roll will show us some of the awful ravages which this worst of 
all parasitic diseases is making on the American colonizers of the 
Tropics.*° 
® The inadvertent omission of the discussion of amebic infection of the urinary 
bladder from this article has only been noticed in reading the proof. This subject 
was discussed by McDill and Musgrave in Medical News, December 16, 1905, 
page 1163. It will shortly again be taken up with the report of six more cases. 
