SCHISTOSOMIASIS 



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The ureteric orifices may be occluded, causing retention of urine 

 and hypertrophy of the ureters with dilatation, thus making ascending 



Case of Schistosoniuin japonicum. Severe infection of three years' duration. Ova very 

 abundant in stools. After tapping, a large mass of glands forming a tumour as big as the 

 two fists together could be felt in the caecal region. Liver dulness was diminished. After 

 tapping, by pushing the hand well up under the ribs, the liver surface could be felt to be 

 bossed. Spleen not enlarged. 



Age twenty-one. The patient left the hospital a few days after the photo was taken, and 

 looked as if death was imminent. In hospital he was tapped four times, but the abdomen 

 filled up to as great a degree within ten days of each tapping. 



This illustrates what one might call the final stage of schistosomum disease, when the 

 previously enlarged liver shrinks with cirrhosis. The only other photos I have seen published 

 were those of Dr. Peak's cases, but I think they illustrated an earlier stage of the infection 

 (earlier, or perhaps less severe). (Notes, case and photos by J. A. Thomson, Hankow.) 



septic infection easy. Calculi may form in the bladder 

 be interstitial nephritis. 



There may 



