746 



BESCEIPTION OF BOTIIPJOCEPHALUS LIGULOIDES. 



colour, and exhibited when removed from their resting-place distinct 

 tapeworm-like movements. 



Before the publication of this notice, and 

 the accompanying communication of Cobbold, 

 to whom Manson sent his worms for closer 

 investigation, I also obtained a specimen of this 

 worm through the kindness of Dr. Scheuhe, 

 then director of the hospital in Kioto, now 

 physician in Gera. These were derived from 

 a Japanese, twenty-eight years of age, who 

 had been five years in prison, but was formerly 

 for some years a groom in the island of 

 Kiushiu, and had moved about in the west 

 of the main island. During his residence in 

 Kiushiu, he suffered after a prolonged careless 

 life from hematuria. He became afterwards 

 syphilitic, and remained so till his imprison- 

 ment. After he had been five years in prison 

 his left testis began to swell and become 

 painful. At the same time a diffuse hardening 

 of the skin set in, on the upper part of the 

 left thigh, below the inguinal region, and 

 pains extended thence to the left hypochon- 

 drium. Afterwards the hardening and the 

 pain decreased, and wholly disappeared for 

 some months, during which the patient, in 

 spite of the continuous slight enlargement 

 of the left testis, felt c[uite healthy. In the 

 course of a year, without apparent occasion, 

 dysuria set in, associated with pains in the urethra and bladder. The 

 urine itself exhibited no striking change. After the dysuria had lasted 

 for some days, the patient observed when making water the projection of 

 a white thread-like body, which moved when touched. He recognised 

 it as a worm, and attempted to extricate it by winding it round a 

 bamboo rod. After he had drawn out about 18-5 em. in this fashion, 

 the worm broke. The pain of urinating was temporarily relieved, hut 

 after a short period returned. The urine could only be expelled in 

 drops by strong pressure, and with violent pains, which extended to 

 the upper thigh. The urine was slightly cloudy, but on microscopic 

 examination, revealed nothing unusual except blood corpuscles. 

 Whether further portions of the worm were expelled is not known, 

 as the patient very soon returned from the hospital to the prison. 



The worm, which in spirit had contracted to 13 cm., turned out 

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Fm. 402. — Bothriocephalus 

 ligvloides ; A, original, £,' 

 after Cobbold (nat. size). 



