30 PARASITES OF MAN 



Liver-fluke/ ' ' Lancet/ Aug. 1875 ; repr. in the ' Veterinarian/ 

 Oct., 1875; also in the ' Lancet/ March 16th, 1878, p. 406. 

 Macgregor, W., " A new form of Paralytic Disease, associated 

 with the presence of a new species of Liver Parasite (Distoma 

 Sinense)," ' Glasgow Med. Journ/ for Jan., 1877; also in the 

 ' Lancet 'for May 26th, 1877, p. 775. Cofc&oZd, T. S., in a note 

 to the ' Lancet,' Sept., 1875, and in the Appendix to Macgre- 

 gor's paper, p. 15, I3 t 77.Leuckart j R., 1. c., Bd. ii, s. 871, 1876. 



Distoma conjunction, Cobbold. The little fluke which I first 

 discovered in the gall-ducts of an American fox (Canis fulvus) 

 was fourteen years afterwards obtained from pariah dogs in 

 India by Dr. T. R. Lewis (1872) ; but it remained for Prof. 

 McConnell to show that this entozoon also invades the human 

 subject (1874). A second instance of its occurrence in man 

 was recorded in 1876. We all figured the worm, and in 

 respect of general details our descriptions for the most part 

 agreed (fig. 56). The worms from the dog and fox gave an 

 average of J" in length, but the majority of those found by 

 McConnell in man were fully |" from head to tail. 



Writing in the spring of 1876 Dr McConnell says : " In 

 the 'Lancet' for the 21st of August, 1875, I published the 

 description of a new species of liver-fluke found in the bile- 

 ducts of a Chinaman (sic) who died in this hospital. Dr Spencer 

 Cobbold has very "kindly interested himself in this discovery, 

 and proposed the name of Distoma Sinense for the new fluke. 

 This discovery (in September, 1874) has stimulated me to pay 

 still greater attention to the morbid conditions of the biliary 

 canals in our post-mortem examinations ; but, although more 

 than 500 autopsies have been conducted since that date, I have 

 not met with another instance of distomata in the liver until 

 within the last fortnight. On the 9th of January, 1876, in exa- 

 mining the liver of a native patient who had died in the hospital, 

 I again found a large number of flukes in the bile-ducts, and 

 having carefully examined many specimens, I recognise the 

 species as the D. conjunctum of Cobbold. Dr Cobbold" dis- 

 covered this fluke in 1858 ; but, as far as I am aware, the human 

 liver has never hitherto been found infested by these parasites, 

 and this will give general interest and importance to the follow- 

 ing case." 



" Jamalli Khan, a Mahoinrnedan, aged twenty-four, admitted 

 into the hospital on the 25th of December, 1875. He is a 

 resident of Calcutta, and an ordinary labourer (coolie). He 



