I. NOTES ON A CASE OF H.€MATOCHYLURIA. 



TOGETHER WITH SOME OBSERVATIONS ON THE MORPHOLOGY OF THE EMBRYO 

 NEMATODE FILARIA NOCTURNA. 



By Wm. B. Whickky, M. D. , Bactcrluloyist, Biological Lahonitory, and 

 John R. McDill, M. D., Manila, P. I. 



I 



The diagnosis of many cases of filariasis in whicli the aduU 

 parasites are inaccessible must depend upon the identification of 

 the embryo nematodes. Most of the published pictures of Filaria 

 nndunui have been drawn apparently from stained preparations, 

 and all the high-po\ver photomicrographs we have seen, depict the 

 parasite in a greatly degenerated condition and do not present the 

 morphological details observed in a fresh preparation. The study 

 of a case of hfematoehyluria during the past six months and the 

 accessibility of a Zeiss photomicrographic apparatus have given 

 us the opportunity of presenting the accompanying illustrations 

 together with an alistract of our notes on the case. 



ABSTRACT OF CLINICAL HISTORY. 



On ^Nlay 30, 1904, Saya, a Japanese girl, 22 years old, came 

 under our observation. She came to Manila four years ago from 

 a village near Nagasaki. The patient was emaciated, pale, and 

 weak and complained of passing bloody and milky urim; and of 

 attacks of abdominal pain referred chiefly to the riglit Unnbar 

 region. The abnormal urine was first noticed in August, 1903. 

 Tiiis disappeared spontaneously in three montlis and she liad no 

 further trouble until the present attack. She claimed to have 

 always drunk boiled water or tea and she gave a history of i^re- 

 vious good health. Tlie patient was placed in the Manila Civil 

 Hosi)ital, where during the evening :ind at night she was pro- 

 tected by a mos(|uito net. 



Upon a<liiiission she was passing a considerable amount of milky, 



5 



