178 



IlOl'TINK WOKK 



cortV'i-tuldund iiiiiiiiiniia'f, its foiisisteiuc iiiul tin.' alisuiu'i' of frotli siigm'sliil that it iiiiglit be 

 (luf to a liver alisecss rupturing into the tlioriieic cavity. The syniiiltuns (if tlie case were 

 indefinite ami niiglit easily havr lieen inilueeil by sueli an hepatic contlition. On examination 

 some pulvgonal <'eils Were fi>unii and (dnnips of stapliylocoeei. Klasfie filires were not seen. 

 Viin Jak.seh' states tliat if free Iwematuidin be present in eonsiilerablc ipiantity tlie inference 

 is tiiat an abscess Inis discliarged from some neiglibouring organ into t\\i- Inng. Free 

 hienuitoidin was present in tliis ciuse but only in very small amonnt. No definite opinion 

 conlil be given but it was admitted that tile ease was suspicious. It i)roVfd rapiilly fatal, 

 and the historv, which had at first not l)cen easy to obtain, and the post-mortem e.\amination 

 revealed the true state of afl'airs. The i)aticnt had received a kick on the calf of the left leg 

 and this had resultetl in thmmliosis of one of the deep veins. In sonic tinl<nowii way the 

 thrombi had become septic and had been carried by the blood stream to the lungs. 

 I'ulmonary embolism with rapid breaking down of one of the embolic areas had taken place, 



Kic. UK lIvi'ATlu ijt- Fli.MlK, c.LU>)nK cxlciisivc LTo>ion of llic boiiL-. 



both lungs being infected. I do not think that such a condition has been previously 

 mentioned as occurring in connection with the difFereutial diagnosis of hepatic abscess. As 



I'.irasites regards the larger parasites, Strviiijt/loi</ei< iittexliiialix has come under notice, but the most 



interesting observation was made in a case seen by Captain Hughes at EI Obeid in which the 

 patient passed two worms in his urine. These were sent to the laboratories and proved to be 

 'I rirhocipliiilitx irir/iiurii.i. I did not know that this nematode had ever been discovered in 

 the urine, but I found that ]?oston,* in his recent work on Clinical Diagnosis, mentions the 

 occurrence of its eggs in human urine. There was no doubt in this case but that the worms 

 had been expelled )»'r urrt/imin. The accompanying photograph (Fig. 70) is that of a human 

 teinur which was infected by hydatid disease. The si)ecimen was .sent by Captain Cummins, 

 who intends to describe the case in the U.A M.C. .bmrnal. I lydatid of bone is sufficiently 

 rare for this instance to merit attention here, and Ca])tain (junnnins has kindly granted me 

 permission to mention it. The photograph was taken by Dr. Beam, and the specimen is in 

 the laboratories" museum. 



Aviandbcasc I" '"rkiys dying in Khartoum tuberculosis and aspergillary pneumycosis have been 



llyclatiil of 

 Ijone 



• Clinical DiagDoaitt, 1899, p. 136. 



