170 ^^6 Philippine Journal of Science ms 



T^NIA 



Only one case has been encountered in which a Tsenia was 

 found. This occurred in a 57-year-old Filipino who died 

 as the result of cerebral hsemorrhage dependent on arterio- 

 sclerosis. This adult worm was found in the intestine and was 

 identified as Tsenia saginata. Three other tapeworms obtained 

 from the human host which are in the museum of this depart- 

 ment are also Taenia saginata. 



No example of the adult of Tsenia solium has been encountered, 

 but one case of widespread infestation with Cysticercus cellulosse 

 occurred in a 28-year-old Filipino, a resident of Manila, who 

 died suddenly. 



Cysticerci in hogs are a very frequent finding in the Phil- 

 ippine Islands, and these, on account of their occurrence in this 

 host and on account of their scolices bearing 4 suckers 'and a 

 rostellum with booklets, are presumably Cysticercus cellulosse. 

 This would seem to presuppose the frequent presence of the 

 adult parasite in the human host. However, the adult worm 

 has not been found in our series, and only one example of 

 Cysticercus cellulosse has occurred in a series of over 2,200 

 autopsies performed in this department. 



The autopsy report of our case will be given in full. 



ANATOMIC DIAGNOSIS 



Cysticercus cellulosm of brain, hypophysis, and muscles; dilatation of 

 right ventricle; congestion of lungs; passive congestion of liver and kid- 

 neys; chronic fibrous pleurisy; persistent thymus; hookworms; ascariasis; 

 trichuriasis. 



Body is that of a large, well-developed and fairly well-nourished Fili- 

 pino, weighing 55.65 kilograms and measuring 172 centimeters in length. 

 Post-mortem suggillation is marked on the back. There are no external 

 evidences of violence. Left knee is slightly flexed. Rigor mortis is marked. 

 The body is twisted slightly to the right above the pelvis. 



A small elevation is noticed on the left arm over the biceps muscle; 

 this feels firm, and the skin moves freely over it. On incising the skin 

 there is found just beneath the fascia of the biceps muscle a small, oval, 

 translucent cyst, measuring 15 millimeters in length by 6 millimeters in 

 thickness. The long axis is parallel to the muscle fibers. The capsule of 

 the cyst is thin but moderately resistant. Another cyst is found near this, 

 and others are found just beneath the fascia of other muscles, one in 

 the right biceps, one in the left extensor digitorum communis, one in the 

 lateral head of the left gastrocnemius, and one in the subscapularis. Most 

 of these are somewhat smaller than the one described, particularly in 

 the long diameter. The deeper muscles were not investigated. Subcu- 

 taneous fat is present in moderate amount. 



Peritoneum is smooth and pink. The peritoneal cavity contains a small 

 amount of clear, light-reddish fluid. Appendix appears to be normal. 



