TRICHOCEPHALIASIS. 547 



this purpose: Thymol in doses of 8 grams on two occasions and the well-known 

 eucalyptus-castor oil and chloroform mixture on one occasion. A few Trichuris 

 were obtained with two of these treatments, about 15 or 20 in all being secured. 

 The stool from the third treatment was unfortunately destroyed without examina- 

 tion. Other treatment administered consisted in stimulation and in attempts to 

 build up the nutrition. 



Autopsy was performed one hour after death by Dr. Oilman and his report of 

 the findings is as follows: 



Body of a sparely nourished Filipino 157 centimeters long; rigor mortis 

 absent; body still warm; pupils moderately dilated; equal; distinct yellowish 

 tinge of sclerae; the entire body has a yellowish tinge. There is no general 

 glandular enlargement; abdomen flat; no scar on penis. Shins clear. 



Subcutaneous fat is present in good amount, is of a lemon-yellow color, more 

 brilliant than normal. Muscles are practically of normal color. 



Peritoneum is everywhere smooth and glistening. The mesenteric and omental 

 fat is present in good amount, similar in shade to the subcutaneous fat. The 

 general visceral arrangement is normal. Coils of small bowel are in general 

 contracted, small, appendix region is free from adhesions. Bladder is distended 

 with urine extending 11.5 centimeters above the symphysis. Diaphragm at the 

 upper border of the 5th rib on the left, lower border of the 4th rib on the right. 



Pericardium is smooth and glistening, contains 1 or 2 cubic centimeters of clear 

 fluid. Heart is firmly contracted, measures 10.5 centimeters from the auriculo- 

 ventricular ring to apex, surface smooth, sub-epicardial fat well-developed. The 

 right side of the heart is practical]}' empty, but for a small amount of fluid blood. 

 Valves are normal and competent. The left side of the heart contains a small, dark, 

 post-mortem clot. The mitral valves are normal as are the aortic. Base of the 

 aorta is smooth and elastic. The wall of the left ventricle measures 2 centimeters 

 at its thickest portion and the right measures 0.6 centimeter. The heart muscle 

 is of a firm, reddish-brown color. Heart weight 300 grams. 



Lungs: The left pleural cavity is obliterated, the lung being adherent to the 

 chest wall and diaphragm by firm, old, fibrous adhesions. The lung is apparently 

 crepitant everywhere, is pale and on section is air-containing throughout, of a 

 pasty yellowish-gray color. The right lung lies free in its pleural cavity except 

 at the base, where it is adherent to the diaphragm; it presents a similar 

 appearance to the left. Apparently air-containing throughout. On section similar 

 to opposite lung. 



Spleen is small, measuring 7.3 by 4.5 by about 2.5 centimeters, surface smooth 

 color dark grayish-purple. On section there is a decided increase in the connective 

 tissue. The pulp is moist, of a brownish color. Spleen weighs 35 grams. 



Kidneys: The left kidney measures 10 by 6 by 4 centimeters, its capsule strips 

 readily, leaving a smooth, pale yellowish surface somewhat mottled with areas 

 of red. On section the cortex measures, 0.6 centimeter, entire organ is of a 

 pale yellowish color, contains a very small amount of blood. The right kidney 

 measures 9.8, by 5.5 by. 3.5 centimeters, is similar throughout to opposite organ. 

 Combined weight of the two organs is 270 grams. Suprarenals are normal. 



Pancreas is firm, of a yellowish color. On section it is somewhat pale, although 

 apparently normal. 



Liver measures 24 by 14 by 8 centimeters, surface is smooth, edge sharp, 

 organ is somewhat soft and putty-like. On section the parenchyma is of a 

 brownish color, homogeneous. Gall-bladder contains several cubic centimeters of 

 dark, slightly inspissated bile. Duct patent. Weight of liver is 1,020 grams. 



Bladder measures 15 by 12 centimeters, walls are stretched and thinned. It 

 contains a large amount of clear, amber-colored urine. Mucosa is very pale, 

 otherwise normal. Prostate apparently normal. 



