Vol. XXV] ENTOMOLOGICAL NEWS 



older of the two animals refused nearly all food for two whole 

 days following the treatment. But the latter does not seem dan- 

 gerous and is certainly a cleanly and desirable agent for the purpose 

 of ridding household animals of dangerous parasites. A. A. GIRAULT, 

 Nelson, Queensland. 



Sequelae of Human Verruga Case Traceable to Phlebotomus 



verrucarum (Dipt.). 



A preliminary notice of Mr. Nicholson's case, dated November 10, 

 1913, appeared in the January, 1914, issue of the NEWS. The following 

 data bring the record up to date : 



Nov. 10, 1913 Received 30 cc. neosalvarsan intravenously in left 

 arm. 



Nov. 15 Fever subsided for good. The fever had lasted with prac- 

 tically no absolute intermission for three weeks, from October 25 to 

 November 15, but ranging all the way from slightly above normal to 

 close on 40 deg. C. The temperature was very irregular, but usually 

 lower in mornings and highest in evenings. During this period pains 

 were pronounced in back of neck, cervical region and knees, more so 

 in mornings. Also during this period the Bartonia bacilliformis Strong 

 et al. was present in numbers in the red cells, as attested by Dr. A. L. 

 Barton and shown in numerous smears. 



Nov. 15 to 30 Pains were most prominent in the ankles, knees, wrists 

 and finger joints, especially in mornings. During the first several days 

 of this period the temperature ranged distinctly below normal, and 

 no Bartonia was found in the blood. 



Dec. I to 24 Acute pain internally in region of spleen but not 

 affecting that organ, very sharp at start and very gradually wearing 

 away until completely disappeared about Dec. 24 or 25. At beginning 

 of this period the pains in joints ameliorated and disappeared. 



Dec. 24 The first sign of eruption appeared, being a minute red 

 point on back of right hand next wrist. This very gradually increas- 

 ed in size, almost imperceptibly at first but rather more rapidly later 

 on, until on Jany. 26, 1914, it has become a perfectly circular well-raised 

 papule 3.5 mm. in diameter. Its initial stage seemed miliar, but its 

 present state must classify it as nodular. 



Dec. 28 Several minute eruptive points like preceding on ankles. 



Jany. 8, 1914 Typical nodular papule of considerable size suddenly 

 appeared on outside of right forearm next elbow, about 2 to 3 mm. 

 in diameter. 



Jany. 12 Several minute points just back of original papule on 

 right wrist. 



Jany. 14 One large nodule, about the size of a pea, on right thigh 

 outside, accompanied by several smaller ones. 



Jany. 17 Small ones in great numbers have appeared on feet, ankles, 

 shins, knees and thighs. 



Jany. 19 Several larger ones on knees and calves. 



Jany. 21 Very many small and minute ones on hands and fingers. 



Jany. 25 More large ones on right thigh. 



Mr. Nicholson has not been exposed to any verruga infection since 

 he left the hospital on Nov. 22, 1913, not having entered the verruga 

 zone from that date to date of eruption, and not having been within 

 the verruga zone at night since Nov. 6, 1913. 



It is quite certain from these facts that both the Bartonia bodies 



