38 THE ANIMAL PARASITES OF MAN 



Posner, 1 and Wijnhoff.-, Jiirgens found small mucous cysts, filled with 

 amoeboid bodies, in the bladder of an old woman suffering from chronic 

 cystitis ; they were also met with in the vagina. The amoebae observed 

 by Kartulis in the sanguineous urine of a woman, aged 58, suffering from 

 a tumour of the bladder, measured 0*012 0*020 mm., and exhibited slow 

 movements by protruding short pseudopodia. The vacuoles and nucleus 

 became visible only after staining with methylene blue. 



Posner's case related to a man, aged 37, who had hitherto been quite 

 healthy and had never been out of Berlin. Suddenly, after a rigor, he 

 passed urine tinged with blood, in which were found, besides red and 

 white blood corpuscles and hyaline and granular casts, large granular 

 bodies (about 0*050 mm. in length and 0*028 mm. in breadth), which 

 slowly altered their shape, and contained red blood corpuscles in addition 

 to other foreign matter. These bodies exhibited one or several nuclei and 

 some vacuoles. From the course of the disease, which extended over 

 a year, and during which similar attacks recurred, Posner came to 

 the conclusion that the amoebae which had originally invaded the bladder 

 penetrated into the pelvis of the kidney, where they probably settled in a 

 cyst, and thence induced the repeated attacks. 



Wijnhoff observed four cases of amoeburia in Utrecht. 3 



7. Amoeba kartulisi, Dofl. 4 



Kartulis 5 observed the following case : An Arab, aged 43, 

 developed an abscess as large as an orange on the right lower 

 jaw, with a fistulous opening secreting a thick pus. In the pus, 

 as well as on pieces of bone that were extracted, amoebae of 



0-030 0-038 mm. in diameter were found 

 in addition to bacteria. The movements 

 of these amcebae were more lively than 

 those of the amoebae of dysentery ; their 

 coarsely granular protoplasm contained pus 

 and blood corpuscles ; the long finger-like 

 pseudopodia were very rapidly protruded, 

 and usually appeared singly ; as a rule, 

 the very small nucleus was visible only 



FIG. 5. Amoeba Kartuhsi 



Dofl., from the pus of a sub- after staining, and in like manner the 



S a 7f a Suty n 7At U er vacuo ^ s also escaped observation. 

 Kartulis.) A case observed by Flexner 6 also deserves 



mention. It relates to a man, aged 62, with 



1 Posner, C., " Ueb. Amaeb. i. Harn" (Berl. klin. Wochenschr., 1893, xxx., No. 28, 

 p. 674). 



2 Wijnhoff, J. A., " Over amceburie " (Nederl. Tij'dschr. v. Geneeskde, 1895, P- IO 7)- 



3 The amoeba-like formations found by Doria on the floor of the glands in endo- 

 metritis chronica (Arch. /. Gyndkol., 1894, xlvii., p. i) are regarded by Pick (Berl. 

 klin. Wochenschr., 1895, N OS. 22 and 23) as altered epithelial cells. 



1 Doflein, F., Die Protoz. als Par. u. Krankheitserr., Jena, 1901, p. 30. 



5 Kartulis, " Ueb. pathog. Prat. b. Mensch." (Zeitschr. f. Hyg., 1893, xiii., p. 9). 



6 Flexner, " Amoeba in an Abscess of the Jaiv " (Johns Hopk. Hasp. Bull., No. 2<(, 

 1892) ; ref. in C. f. B. u. P., xiv., 1893, p. 288. 



