LECTURE XIV. 



The Parasitism of Threadworms is occasionally complicated by other 

 Diseases Cases LIII. and LIV. Oxyurides in Children are 

 frequently overlooked Cases LV. to LIX. Insufficiency of 

 the Ordinary Remedies Liability of the Disorder to Return 

 after apparently effective Treatment. 



GENTLEMEN, The foregoing instances very fairly 

 illustrate the ordinary run of cases which come 

 under niy care ; but ever and anon I meet with 

 patients whose sufferings are far greater, and 

 whose helminthiasis, so to say, is complicated by 

 other disorders. In such instances it is rather 

 puzzling to know what course to adopt, because 

 the remedies which are suitable for the worms 

 may aggravate the disorder of which the parasites 

 were not the primary cause. Or again, the symp- 

 toms of irritation from the worms alone may be 

 so serious that all active remedies are resisted by 

 the sufferer. The next two cases will perhaps 

 sufficiently illustrate these points. 



CASE LIII. W. L. B., a young lady residing 

 at the West-end of the metropolis, solicited my 

 opinion in the spring of 1867. She had been 



