TAPEWORMS. 57 



site is exceptional. Here are two additional in- 

 stances, the second of which may very well be 

 relegated to the class of obstinate cases, whilst the 

 first was probably a complete cure : 



CASE XXX. E. C., a tall, spare, middle-aged 

 lady, from New York, United States, consulted me 

 on the 28th of June, 1870. In this case evidence 

 of the existence of tapeworm had only been ob- 

 served about six months previously ; yet, to use her 

 own words, within that comparatively short space 

 of time she had " rapidly lost flesh." Greatly dis- 

 gusted at her condition as a parasite-bearer, she 

 displayed the utmost anxiety to get rid of the 

 animal. Accordingly, I prescribed a male-fern 

 emulsion and an active cathartic to follow. This 

 treatment expelled eight feet of a beef tapeworm 

 on the 29th, whilst a repetition of the drugs se- 

 cured the evacuation of no less than nine feet more 

 of the parasite on the 30th of the same month. 

 In addition to these two moieties of the body, 

 properly so called, the neck of the worm was like- 

 wise separately expelled in fragments. Altogether 

 this tapeworm measured fully nineteen feet, and 

 considering the activity of the parasiticide, it was 

 most unlikely that the head should have survived 

 its poisonous action. I discouraged the notion that 

 any further treatment was likely to be necessary, 

 and this lady, after a short interval, left for Paris, 

 where (not apprehending the siege) she intended to 



