A Remarkable Case of Bilkarziosis. 



The case that I desire to record in this volume, is one which in the 

 extent and locality of its lesions is unique in several respects. The 

 intestinal condition is different from anything with which I am familiar, 

 and is the only thing of its kind that I met with during my seven years 

 sojourn in Egypt. 



The patient was an Egyptian male of about 30 years of age, who 

 died in the Kasr-el-Aini Hospital, Cairo. The post-mortem examina- 

 tion was held three hours after death, on the 27th October, 1904. 



The body was emaciated. Rigor mortis was present throughout. 

 There were no external appearances of further note — no jaundice. 



Weight of Organs. 



Heart - - - - I75 grammes. 



Right Lung - - -330 



Left Lung - - - 310 n 



Liver - - - . 1225 n 



Spleen - _ - - 200 u 



Left Kidney - - - 120 m 



Right Kidney - - - 120 n 



Brain - _ _ . 1205 ti 



The Heart. — No pericardial fluid. The organ was small and 

 flabby, and was dark, reddish brown in colour, being in the condition 

 of brown atrophy. This cardiac atrophy (subject a;t. 30) was merely 

 a concomitant of the general advanced emaciation of the body. 



The Lungs. — No pleural effusion, no adhesions. Both organs were 

 small and shrunken, fairly firm and were unusually dry. The right lung 

 was normal to the naked eye. The left lung showed on its surface a 



(41) 



