690 THE ANIMAL PARASITliS OF MAX 



campboratum (Vignolo-Lutati). Santonin o'i grm. is the best to 

 employ for suppositories. 



For high injections, large quantities of plain water are employed 

 (2 to 4 litres), or soapy water (0*2 to 0^5 per cent, solution of sapo 

 medicatus, Heller, 1 Still 2 ), J per cent, salicylic acid solution or liq. 

 alum. acet. (one tablespoonful to a litre of water, Dornbliith 3 ), or 

 gtijanosol (2 to 3 to 4 to 5 per cent, solution, Rahn 4 ). The employ- 

 ment of benzine for such high injections is not advisable according to 

 the experience of Senger, 5 owing to the symptoms of poisoning after 

 the external application of benzine, at least not in the case of young 

 children. 



That diseases of the intestine which are accompanied by frequent 

 thin fluid evacuations may lead to recovery from oxyuriasis has 

 frequently been observed by us in the case of young children who 

 have suffered from dysentery (Seifert 6 ). Inunctions of cod-liver oil 

 .appear to be very valuable in the treatment of oxyuriasis (Szerlecky, 

 Vignolo-Lutati), whilst those with mercurial ointment may easily 

 increase the inflammatory symptoms. The luxury recommended 

 by Esser, 7 that patients every evening before going to sleep should 

 have the female Oxyuridtv picked from the anal fold in the knee- 

 elbow position is one which is certainly only in the power of a few 

 people to carry into execution. 



An essay has been published by Hippius and Lewinson (Dtulsch. med. Wochemchr., 

 1907, xliii.) in which the relationship of Oxyuridce to appendicitis is considered and the treat- 

 ment of oxyuriasis is discussed. The instructive case recorded appears to show that germs 

 through Oxyurida gain access to the tissue of the appendix, and, indeed, are carried in by 

 them. In view of this more recent communication as to the part which intestinal parasites 

 play in the etiology of appendicitis, it seemed to me [O. S.] to be worth whi.e to interrogate my 

 surgical colleagues as to this point. About 2,000 appendicectomies have been jointly per- 

 formed by Drs. Burkhardt, Enderlen, Pretzfelder, Riedinger, Rosenberger and Siber, and in 

 not one of these cases could entozoa be found to be a possible cause of the appendicitis. 

 Such figures without doubt speak in favour of the fact that even if in individual cases entozoa 

 might come into reckoning as a possible cause, such an etiological factor must be classed 

 among the greatest of rarities. My colleague, Dr. Ries, who practised for ten years in Mexico, 

 informed me that there practically speaking every Indian without exception harboured para- 

 sites of the most varied kind, and that in spite of the very extensive professional standing he 

 enjoyed among these people he never had under observation among them a single case of 

 appendicitis. As far as the observation of the authors in question as to the treatment of 

 oxyuriasis is concerned, it must be energetically directed to the employment of local measures 

 for the intestine ; they maintain that the use of enemata would be irrational, and that it is 

 .astonishing that this method has been able to maintain its standing down to the present day. 



1 Heller, he. cit. 



- Still, Brit. Mud. Journ., 1899. s Dornbliith, loc. cit. 



4 Rahn, Munch, med. Wochenschr., 1905. 



5 Senger, Berl. klin. Wochenschr., 1907, xxxviii. 



6 Seifert, Deutsch. med. Zeilg., 1885. 



7 Esser, Schweiz. KorrespondenzbL , 1893. 



