x and the Skin. eS eae ie rae 
pecebins on page 61 of this Report, \ we ‘now discuss some > further successes obtainee 
a4 this remedy, 
be R L. Levy’) reported at the Jot Hopkins Hospital. Medical Society on a case of 
infection with | Ankylostoma duodenale and its treatment with chenopodium oil, showing 
slides at the same time. ‘The patient, a Norwegian sailor, 23 years old, had been taken 
t ‘0 ) the hospital about 8 weeks before, complaining of Hesdeache. general pains in the 
pe Mexico about a month before being accepted at the hospital. There he had walked 
| are-foot for the first time on his journeys. Soon a painful sore place developed on 
top of ‘the left foot, matter was formed and it was. impossible to heal the wound. A 
io 0 “medicines were given him there, the swelling disappeared and he was dismissed as 
convalescent. Twelve days prior to his entering the John. Hopkins Hospital, the legs 
yelled again, the ‘man felt faint, had fever and moderate diarrhoea: On being admitted, 
a 1 following particulars were Stated: ‘Remarkable pallor, fever, tachycarditis, jellylike 
e sdema of the ankles and of the shanks, further a pigmented cicatrice on top of the left 
‘foot. The patient: was extremely weak and irritable. The blood contained 1660000 red 
and of the hook-worm. It was possible to master the tropic fever soon and the Trichuris 
the ‘hook-worms, although the thymol treatment recommended by the Porto Rico Com- 
ission was repeated three times with intervals of a week. The patient was then given 
SCI ription of Schiiffner and Vervoort?). The patient had to fast for 8 hours and was then 
dministered, mixed with a tea-spoonful of granulated sugar. This was repeated twice 
Sith two hours’ interval. Two hours after the last administration, he was given 1 ounce 
P castor oil and 50 minims of chloroform. elie: examination of the excrements of the 
1ext 24 hours revealed 19 hook-worms of the “Old World” type. Besides, eggs were 
cs acted continually. For this reason, the same treatment was repeated after 5 days, with 
e result that 7 more hook-worms were driven off, but no more eggs. In order to make 
quit sure, the patient was treated once again. with woormseed oil, but as the stools 
did i not then contain any worms, he was considered free from intestinal parasites. 
The increase in, weight was 30 Ibs., the blood contained 4110000 red and 11000 white 
cor ecsée, the hemoglobin content (Sahli) being 70 per cent. It was interesting to note 
ihe alteration of a6 BOERHGr: of eosinophile cells. and white corpuscles, which was 
= 
4 4 Yois Sage Hospital Bulletin % (1914) No. 279, pave 160. —  *) Minch. méd. Wochenschr. 60 (1913), 
9 Report October. 1918, 106 77°14" 
yt a 8 
er ecabnicnt of the. solic worm. disease with saan sedl oil. — Ralloudins up our com-— 
body and swelling of the legs. He asserted that he had always been healthy and hard- 
y vorking” and had travelled almost over the whole civilized world. His illness had begun 
short. time after the feet and legs began to swell, the patient felt weak, irritable and: 
ur nfit: for work. He went to a hospital in Mexico and stayed there for 3 weeks. Although 
ai d 6440 white corpuscles, the hemoglobin content being 25 per cent. (according to 
* Sahli). ‘Besides hyaline and crescent-shaped cells of the parasites of tropical fever were 
found. Examination of the stools revealed the presence of the eggs of Trichuris trichiura - 
eggs disappeared after a strong purgation. However, it was impossible. to get rid of 
chenopodium oil (American wormseed oil), according to the somewhat modified pre-— 
gi yen 1 ounce of Epsom salts. Two hours later, 16 drops of chenopodium oil were 
A le or total sulphur. Tt is to be presumed that ¢! the remainder was secreted by the © 
