DISEASES OF MUSCLES 



1975 



times an abscess forms in which the worm or its remains can be 

 found. 



Treatment.- — The correct treatment is to excise the nodule. 

 Prophylaxis. — Nothing can be said under this heading, as the 

 method of infection is unknown. 



DISEASES OF MUSCLES. 

 MYOSITIS PURULENTA TROPICA. 



Synonyms. — Muma fever (Samoa), Bungpagga (Northern Gold 

 Coast). 



History. — This condition has been observed in various parts of 

 the tropics, including the northern territories of the Gold Coast, by 

 several observers, among whom Van Polak, Ziemann, Kiilz, may be 

 mentioned. The last-named author has given a good general 

 account of the malady. 



Climatology. — T-he disease is found in tropical Africa and Samoa. 



etiology. — Some authorities suggest that it is due to a Filaria. 



Symptomatology. — The patient ccmplains of rheumatoid pains 

 in the limbs associated with fever of a remittent or intermittent 

 type. Abscesses form in the muscles in various parts of the body. 



Treatment. — This is surgical, the abscesses being evacuated. 



DISEASES OF BONES. 

 GOUNDOU. 



Synonyms. — Anakhre=big-nose ; Henpuye=dog-nose. 



Definition.^ — -Goundou is a disease of unknown causation, charac- 

 terized by a bony swelling, usually bilaterally symmetrical, situated 

 on either side of the nose. 



History. — The disease was first described by Macalister in: 1882, 

 under the term of ' the horned men of Africa.' Lamprey in 1887 

 also referred to the disease under a similar term, and Strachan drew 

 attention to it in a West Indian child in 1894. Maclaud in 1895 

 described the disease which he saw on the Niger under the terms 

 ' goundou ' or ' anakhre.' In 1900 Chalmers gave an account of the 

 disease as seen on the Gold Coast, and Renner as seen in Sierra 

 Leone. Later Braddon recorded a case in Malaya, and others 

 found the disease in Sumatra and in China. Friedrichsen gave 

 an excellent description of it as seen in East Africa, and Nell gave 

 an account of his cases on the Gold Coast, while Cantlie records a 

 case of unilateral goundou in a European. Lastly, Roques and 

 Bouffard, and more recently Roubaud, Blin, Marchoux, and 

 Mesnil and Leger, have recorded cases in monkeys — Papio annhis, 

 Cercopithe:us sp. } , a-ndCallitricheus. 



The first three observers found that the condition affected many 

 bones of the skeleton, besides the nasal bones. Letulle has noticed 

 a somewhat similar condition in the skull of an ancient Inca found 

 in a Peru necropolis. 



