720 THE ANIMAL PARASITES OF MAN 



cocainized and the larvae being removed with a pincette. Roorda- 

 Smit 1 cocainized the nose, then insufflated calomel and plugged the 

 nose with a gauze tampon dusted with calomel. After two hours 

 fifty-six larvae crawled out along the plug. Continuation of the 

 treatment resulted in a complete cure. 



Injections of chloroform water (Jourdran 2 ) or chloroform inhala- 

 tions, or injections of pure chloroform into the nose, have proved 

 the most effectual (Goldstein, 3 Osborn, 4 Jourdran, Durham, 5 

 Jennings, 6 Kimball, 7 Mackenzie, 8 Oatinann, 9 Zarniko, 10 Antony, 11 

 Folkes 12 ). Camphorated carbolic solutions are very well spoken of : 

 Grayson 13 states that these kill the larvae immediately. Some authors 

 have removed the larvae with forceps (Goldstein 14 ), others with 

 pincettes ; thus Brokaw extracted 200 fragments with the forceps, 

 Pascal eighty fragments with the pincettes, and Wolinz 15 also appears 

 to have removed the larvae with forceps. 



Greater operative measures than these do not appear to have been 

 undertaken in latter clays ; yet Morgagni 16 states that the army 

 surgeon, Caesar Mogatus, at Bologna, first trephined the frontal sinus 

 and then extracted a " worm " from it. 



Larvae of other Muscidce have come under observation much more 

 rarely (ChevaF [larvae of Gallcria mellonella 1 *], Bond, 19 Dumesnil 20 

 [larvae of Piophila caset}}. Species of the genus Scolopendra 

 (Myriapoda), which all shun the light and seek their food during the 

 night which consists of animal and vegetable substances frequently 

 make their way into the nasal cavities of people when asleep. They 

 are found not only in the nose, but in the accessory cavities. In the 

 chapter on the " Parasites of the Nose " 21 we have collected striking 



1 Roorda-Smit, Deutsch. med. Wochenschr., 1906. 



2 Jourdran, Arch, de M6d. nav., 1895. 



3 Goldstein, New York Med, Journ., 1892. 



4 Osborn, Daniel's M(d. Journ., 1891. 



5 Durham, Chicago Med. Times, 1893. 



6 Jennings, Kansas City Med. Index, 1890. 



7 Kimball, New York Med. Journ., 1893. 



8 Mackenzie, " Diseases of the Nose and Throat." 



9 Oatmann, MeJ. Mirror, February, 1894. 

 10 Zarniko, " Lehrb. d. Krankh. d. Nase." 



1 Antony, Bull. Soc. med. des Hop. de Paris, 1903. 



12 Folkes, New York Med. Record, 1907. 



13 Grayson, St. Louis Med. and Surg. Journ., 1891. 



14 Goldstein, New York Med. Journ., 1892. 



15 Wolinz, Wralsch, 1884. 16 Morgagni, see Tiedemann. 



17 Cheval, Journ. de Med. et de Chir., 1893. 



18 [This is the larva of a moth. F. V. T.] 



19 Bond, ////. Zenlralbl. f. Laryng., 1896. 



20 Dumesnil, see Friedreich, " Die Krankh. d. Nase," 1858. 



21 Seifert, see Heymann's "Handb." 



