loG 1. IJIMA AND K. MUÜAT.V 



was to be felt. There was no {)ain. It wu.s .sonieliow treated by a 

 local pli ysiciaii and disappeared in about lU days. A year after, tlie 

 swelling reappeared at the .same place but again subsided in about 

 the same len^'th of time. From this time until his enlistment in the 

 XaLTova (f arris: )n. the same swellin"' often recurred, invariably during 

 summer. The patient did not definitely remember if it took place 

 everij year or if there were years in which it did not occur. The enlist- 

 ment was in Mav, 1885. In July of the same year, the usual swelling' 

 appeared on the inner side oï the lower one-third of the right thigh. 

 \t was observed that the swelling shifted its position up and down by 

 itself to a small extent. It caused no trouble and soon disappeared. 

 The next year passed without the appearance of the swelling. lUit 

 in 1887, at the beu'inninu' of duly, the swellini»' manifested itself this 

 time at Scarpa's triangle. It did not at ail interfere with the patient's 

 general health and dispersed in a few days. In September of the same 

 year the swelling reappeared on the inner side of the middle of the 

 thigh. As it gaye him pinchirjg pain, Mr. Nagacj was consulted. The 

 Jatter found a hard mass of the size of a list, situated in the subderuud 

 tissue at the aboN'e-mentioned spot. It could be shifted to a certain 

 extent. The surrounding tissue was inflamed and swollen. Attempts 

 were made to test if it contained anvthini!" obtainaljle bv means (jf in- 

 serted syringe, but in vain. Iodine-tincture was administered for 

 about 40 days. This had no desired etfect ; on the contrary, the 

 swelling enlarged and the pain increased to such a degree as to make 

 the [»atient incapable of performing his duties. He was then taken 

 into the hospitaJ. Carbolic-acid water was injected into the swollen 

 tissue and cold wrapper applied. In 5 days there was indication of 

 suppuration and s<j a warm wrapper was substituted for the cold. In 

 •1 days more tlie swelling suppurated and was cut open. Together 

 with thin pus the worm described below came out of the pus-ca^ ity. 



