18, 4 Haughwout: Human Coccidiosis 458 
studied the epithelial cells in the hope of finding intracellular 
stages of the coccidium, but without success. Several slides 
were fixed and stained, but later examination of these was like- 
wise barren of results. 
The patient complained greatly of fatigue and lassitude. He 
reported that he was particularly uncomfortable at night and 
that he obtained relief by pressing the pillow against his 
abdomen. He was very restless at night and dreamed a great 
deal. On arising in the morning he felt completely worn out. 
On this particular morning he had felt somewhat better and 
had read the newspaper comfortably before going down to break- 
fast. At the table, however, he lost his appetite and ate 
only some papaya, prunes, and shredded wheat biscuit—not 
much of any of them. He said that he experienced something 
approaching an appetite for about one out of every three meals. 
This condition continued until I lost sight of the case, although 
the patient showed improvement in other ways. He had, in the 
meantime, lost 15 pounds in weight since the onset of the trouble. 
His temperature showed no tendency to rise except about half 
a degree Fahrenheit for a day or two following his return to 
Manila. The flatulence which troubled him before had disap- 
peared to a large extent, but he still suffered from the dull 
sensation of uneasiness and discomfort in the abdomen, although 
there was no actual pain. The nausea had disappeared, but his 
appetite had not returned. Normally, he stated, he was “an 
enthusiastic eater.” At times his tongue was coated, and he 
was much annoyed at night by a bad taste in his mouth which 
made it necessary for him to arise, brush his teeth, and gargle 
with antiseptic solution. 
The next examination of the patient’s stool was made on 
March 30. On that day his stool presented the same general 
characters as the two preceding specimens. The first portion 
was dark yellow in color and fully formed; the second was lighter 
yellow and very soft. No cysts were discovered in the careful 
examination of ten fresh preparations selected from both 
portions of the stool. Concentration by the method of Cropper 
and Row of about 2 grams of the stool, made up of samples 
selected at random from both portions of the specimen, like- 
wise failed to disclose any cysts. 
The patient still complained of a slight degree of abdominal 
discomfort and of anorexia. On the whole, however, he seemed 
177076——-9 
