176 PROTOZOAN PARASITISM 



or conspicuous in the history in 8% of the flagellate- 

 free and 6% of those with Chiloinastix, while con- 

 stipation was the state of 74% of the parasitized, 

 against 55% of the free. 



Although recognized as an indefinite thing in it- 

 self, there was a clinical diagnosis of chronic chole- 

 cystitis in 37% of the carriers of Chilomastix, as 

 compared to 22% of the non-parasitized. 



There was undoubtedly a state, in patients of the 

 later years of life, in which there was gastro-intes- 

 tinal disturbance, but of no definite character, with 

 achlorhydria and constipation as conspicuous fea- 

 tures and in which chronic cholecystitis was com- 

 monly diagnosed, in which the presence of Chilo- 

 mastix ynesnili was an outstanding finding. In none, 

 however, was the organism found in gastric, duodenal, 

 or transduodenal biliary drainage. 



Since this is the sort of clinical state in which the 

 organism has been under suspicion by medical prac- 

 titioners, these findings must be held in consideration 

 for further information. The question is, which is 

 the cause and which the effect. Is the prominence 

 of the organism here because of the favorable condi- 

 tions for it, later life, a lowered acid barrier in the 

 stomach, a fertile field for its maintenance in a stag- 

 nant intestine content, or is the organism related 

 directly or indirectly to the development of this ab- 

 normal state? 



There were no other symptoms, signs or labo- 

 ratory evidences of disturbances related in any way 



