61 



fiKtid matter from the two nostrils. Her face was flushed, eyes 

 bloodshot and Aveeping, she suffered from headache, had fever, 

 and spent sleepless nights. 



When I was able to examine the interior of her nose Avith 

 a speculum I saAv traversing the purulent mucus Avhich blocked 

 the passage, especially in the left nostril, projecting bodies Avliich 

 moved about. 



1 extracted one of these bodies Avith a pair of tweezers : it 

 Avas a Avorm. 



A greyish Avorin 4 or 5 millimetres in length. The body 

 Avas spangled Avith rugose annular rings. 



I readily recognized the larA'a of a fly named by Coquerel, 

 Avho made a special study of this insect, Lucilia Hominivorax. 

 One need but open any book on Natural History or Medical 

 Pathology and ho Avill find many instances where this fly is 

 knoAvn to have deposited its eggs in the nostriJs of human beings 

 Avho very often haA'^e succumbed from inflammatory accidents 

 produced by their larva^. 



The case I had on hand was attended Avith success. 



It is probable that the person affected, coming from Europe 

 and suffering from Coryza Avas attacked by this insect in ]\Iar- 

 tinique, Avhere she had spent some thirty-six hours in rather 

 unpleasant conditions : avriAdng here the interior of her nose Avas 

 already iuA'aded by the Avicked fly- 



Be that as it may, as soon as I recognized the affection T 

 applied myself toAvards killing the larvae and repairing the evil 

 done. 



All I could extract Avithout difficulty Avere extracted by 

 means of the tweezers. I then Avashed copiously Avith a carliolic 

 lotion followed by insiifflations of a poAvder composed of lodo- 

 forme and Oxide of Zinc. Every day I extracted a number of 

 Avorms and many camoaAvay of themselves. They grew rapidly. 



Among the last removed Avere those that the President, 

 Mr. H. Caracciolo presented to the Club, these Avere full groAvn. 



I am of opinion that the dark tinge they presented Avas due 

 to the lodoforme and Iodine Avhich they imbibed, the latter 

 being produced by the decomposition of the former. 



After four days constant Avork, no more larva; Avere to be 

 seen, and then I tried to remedy the disorders attendant on 

 their presence, Avhich, up to this day, are not yet completely 

 repaired after one month's active and regular treatment. 



I hope, hoAvever, by njeans of topical remedies Avhich can be 

 applied Avith the naked eye by means of a speculum nasi and a 

 good light, that she Avill ver}^ shortly recover. 



A. L., M.D. 



July 7th, 1S92. 



