INTESTINAL TMNIIASES 



1753 



the recorded cases are few, the method of infection is unknown, 

 and the symptomatology has still to be carefully studied. 

 Diagnosis. — The presence of trematode worms can only be diag- 

 nosed by the discovery of the 

 eggs or the adult in the faeces. 



Treatment. — The treatment 

 must be on the same lines as 

 that described for ankylosto- 

 miasis. 



Fig. 744. — Eggs oy Eurytrema pancreaticum 



IN THE F^CES OF A CHINESE CoOLIE. 



(X 250.) (From a photograph bv 

 J. J. Bell.) 



Fig. 745. — Gastrodiscus 

 honiinis. 



(After Leuckart.) 



Intestinal Taeniiasss. 



Definition. — An intestinal tseniiasis is an infection of the alimen-, 

 tary canal by adult cestode worms. 



Symptomatology. — Cestode parasites cause gastric and reflex symp- 

 toms, mostly of a vague nature. The former comprise salivation, 

 diarrhoea, or constipation, with colicky pains, nausea, vomiting, or 

 dyspepsia, while the latter include faintness, unequal pupils, dis- 

 orders of vision and hearing, headache, itching of the nose or anus, 

 vertigo, epilepsy, etc. Anaemia and skin eruptions have also been 

 recorded. Christopher son and Izzedin have recorded a case of acute 

 intestinal obstruction due to Trenia saginata. 



Treatment, — The treatment is the usual anthelmintic remedy 

 of Filix mas, in capsules (six lo-minim capsules) or emulsion — 

 such as olei filicis 3i- to "ji.ss., gummse acaciae q.s., syrupi 

 zingiberis 3i., aquae ad gii. Fiat haust. To a child six to eight 

 years of age olei filicis 7;ss. may be administered, followed by 

 a saline purg itive six hours later. Filmaroa, which contains the 

 active principle of filix, may be given in capsules (two or three). 

 Turpentine may be given in doses of 20 minims three times a 

 day, or kousso 2 drachms, or kamala i drachm. Thymol has 

 also been recommended. Naphthalene in 2-grain doses has been 

 used in children. 



Taeniiasis is extremely common in certain parts of the tropics — 

 as, for instance, Abyssinia — ^where some natives take every two 

 months kousso flowers [Br ay era anthelmintica Kunth). Several 

 other native drugs have been used, among which, according to 

 Annaratone, the following are the principal ones: Bulbs of cossala 

 (Mollugoliro) , habbeciacco (seeds of Oxalis anthelmintica), the bark of 



