716 THE ANIMAL PARASITES OF MAN 



as well as ulcerated or wounded parts of the body, and even badly 

 ulcerated skin carcinoma (Lutz 1 ), it is not a rare thing for it to 

 penetrate into one of the above-mentioned cavities rapidly to deposit 

 its eggs, without these parts having been previously affected. The 

 report also of Conil, 2 in which these flies bear the name of Calliphora 

 anthropophaga* is an interesting one. Probably it was the same species 

 of Muscid in the cases of myiasis nasi observed by von Tengemann, 

 Delasiauve, 4 Weber, 5 Mankiewicz, 6 and Kirschmann. 7 In the case 

 recorded by Prima, 8 and in that recorded by Britton, 9 the issue was 

 a fatal one ; in the latter the larvae escaped through the pharynx 

 and nose ; the hyoid bone and the soft parts of the palate were 

 destroyed, the speech and power of swallowing -were hindered. At 

 the post-mortem extensive destruction of the internal nose was found, 

 so that the nasal bones could only be kept in their position by the 

 aid of the external skin. Even during life 227 larvae escaped. 

 Similar destructive processes were found in the case communicated 

 by Richardson. 10 In two cases reported by Schmidt 11 300 and 350 

 larvae were respectively removed from the nose, and the patients 

 recovered. Wolinz 12 found his patient had lost consciousness, and 

 that in the pus filling up the entrances to the nose numerous larvae 

 were moving; recovery followed. In the case communicated by 

 Adler, 13 more than 150 larvae escaped from the nose of an old man. 

 Curran 14 states that people suffering from " peenash " frequently die 

 from meningitis. The cases reported by Pierre 15 related to the forms 

 of severe myiasis frequently to be observed in Guiana. In a patient 

 who was suffering from typhus ( ? typhoid), Douglas 16 found the 

 conjunctival sacs full of larvae ; in two other individuals the nasal 

 cavities were attacked. 



The case observed by Summa 17 was that of a man, aged 28, who 

 suffered from nasal obstruction, fcetor, epistaxis and pain in the nose. 

 Out of seven of the cases occurring at Fort Clark, U.S.A., and in its 



1 Lu'z, see Joseph, Deutsck. med. Zeitg., 1885. 



2 Conil, Annal. de Science nat. zoo/., 1878. 



8 [This fly belongs to the genus Cordylobia, and is peculiar to Africa. C. anthropopkaga, 

 or the tumbri fly, is, when a larva, a subcutaneous parasite of man and animals. F. V. T.J 



4 Delasiauve, Gerhardt's "Handb. d. Kinderkrankh.," 1878, iii. 



5 Weber, Mexique Rtc. d. Mem. de Med. milit., 1867. 



6 Mankiewicz, Virchoiv's Archiv, 1868, xliv. 



7 Kirschmann, Wien. med. Wochenschr., 1881. 8 Prima, " These de Paris," 1881. 



9 Britton, Cambridge, Massachusetts, 1883. 



10 Richardson, Medical Monthly, 1883. " Schmidt, Texas Med. Journ., 1887. 

 12 Wolinz, Wratsch, 1884. 13 Adler, Med. Record, 1885. 



14 Curran, Med. Press and Circ., 1887. 



15 Pierre, "These de Paris," 1888. 



16 Douglas, Kansas City Med. Index, 1890. 



17 Summa, St. Louis, 1889. 



