ON A NEW HUMAN TAPE-WORM (BOTHRIOCEPHALUS SP.). 373 



îind frequent, niimberinsf 120. Palpitation -somewhat accelerated. 

 Temperature 36. S° C. Tongue with yellowish covering. Appetite 

 ordinary, sometimes vigorous. Gastric region swollen out and 

 frequently giving spasmodic pain, radiating towards the back and 

 ceasing gradually or suddenly, followed by a feeling of pressure on 

 intestines. This feeling either remains at one place or shifts its posi- 

 tion. Tlie [ittack occurs after taking food but also at other times. 

 Pressing the gastric region from outside has soothing effect on the 

 pain. Sometimes ])ain also in the i)elvic region. Diarrhd'a, oi" 

 costiveness for many days. 



"From above symptoms, the presence of AiicijlDslounnu duDtloiale 

 was suspected. Microscopictd examination of the frees liowever 

 unexpectedly revealed a number of eggs, resembling very much those 

 QÏ Vistoumm riHficrl both in size and appetirance. Irrespective of wliat 

 parasite these eggs might belong to, a dose of cxlr. filic. mas. was 

 tried and the result was the discharge of a tape-worm measuring 

 10 iiicters in lengtli and, at the broadest portion, 25 milHmeters 

 in breadtli. The broad hind end had its extreme tip shrunk, nmch 

 macerated and easily detachable. Of the other end, a ]iortion as thin 

 as 1.5 millimeter was found but no head could be discovered. From 

 the following day, all the complaints the man had sutfercd fr»jm for 

 so many years entirely dis;ip[)eared." 



But the man did not live long to enjoy this relief, for during the 

 following month a collision with a coal truck broke his back and killed 

 him. Post mortem examination was not allowed to Mr. Xakamura 

 notwithstanding his appeal. 



Judging from Mr. Nakamura's statements, the tape-worm, a 

 Botlirioceplialm as already mentioned, must have been an extra- 

 ordinarily long and broad one, gradnaJly tapei-ing anteriorlv into an 

 almost filamentous colliun. 



