22 



The Philippine Journal of Science 



1916 



large intestine, except that the intestinal wall, especially the muscular 

 layer, looks vary thick with prominent and dilated vessels and the lower 

 part contains these ulcers which seem to be very recent. (Patient had 

 no bowel movements twenty-four hours before death, and a Hegar's 

 dilator was introduced into the rectum.) 



The prostate gland is apparently normal. 



The urinary bladder is apparently normal. 



Throat organs. — The cervical glands are reddened and slightly enlarged. 

 The thyroid gland is small; otherwise it is apparently normal. 



Brain. — The cerebrospinal fluid is somewhat increased in amount, and 

 the meninges of the brain are congested; otherwise it is apparently normal. 



Anatomical diagnosis. — ^Dilatation and hypertrophy of the colon (mega- 

 colon) ; teniasis {Dipylidium caninum) ; enteritis, catarrhal; ulcerative 

 colitis; passive congestion of the visceral organs; parenchymatous degen- 

 eration of the heart, liver, and kidneys; extreme emaciation; rickets; 

 foetal lobulations of the spleen; bismuth impaction in the large intestine; 

 lymphadenitis, mesenteric and cervical; bismuth poisoning (?). 



IDENTIFICATION OF THE PARASITE 



I placed the reddish yellow flat segment on a slide and took 

 it to Mr. L. D. Wharton, instructor in zoology. University of the 

 Philippines, who, after seeing the chains, identified them as 

 those of Dipylidium caninum and the segment as a proglottid 



Fig. 1. Dipylidium caninum, a and 6, natural size of worm ; c and d, natural size of segrments ; 



e, the worm enlarged. X 5. 



