284 DISEASES DUE TO HELMINTHS 



TREATMENT. 



This is symptomatic. 

 Rest in bed. 

 Salol and urotropine. 

 A non-irritating diet. A'ery little fat. 

 Gentle purgation. 



Astringent injections and bladder washes are of little use. 

 Ouinine should be given. 

 The X-rays can be tried. 



If clots persist in the bladder, ana?sthetize the patient, wash out the 

 bladder with an aspirator or open and drain. 



(2) Chylous and Lyuiph Diarrhoea. 

 This condition is rare. 



The treatment is symptomatic. 



(3) Chylocclc or Lymphocclc. 



This condition is often preceded by fever and orchitis. 



It may develop gradually, the tunica vaginalis filling up with an 

 opaque fluid which may contain microfilaria. 



The tumours never become very large, but they may require 

 tapping. 



(4) Chylous Ascites. 



This is common in animals, but rare in man. 



Two cases only have been recorded. 



There has been traumatic rupture of the receptaculm chyli when it 

 has been necessary to cut down and repair the wound. 



In such cases the intestines are matted together from the exuded 

 lymph, but there are no indications for removing the adhesions, as they 

 are sterile and will resolve. 



(8) ELEPHANTIASIS. 

 DEFINITION. 



A chronic inflammatory hypertrophy induced by lymph stasis in 

 fibrous connective tissue, occurring usually in the skin and sub- 

 cutaneous tissues of the leg, scrotum, vulva, arm and breast. 



CLINICAL VARIETIES. 



(1) Elephantiasis of the Leg. 



The lower extremities are affected in 97 per cent, of all cases. 



SYMPTOMATOLOGY. 



There are attacks of filarial lymphangitis, dermatitis and cellulitis. 

 The leg swells and partially resolves after each attack. The limb 

 permanently enlarges, the natural folds of parts, such as the ankle- 

 joint, are exaggerated, the dorsum of the foot becomes swollen, while 



