44 
Cases Xos. 10 to Id. — Grasse (1887d) records 6 new cases, 8 observed by him 
in Lombardy, and 3 by Calandrexcio in CataEiia, Sicily. Iei o of the cases the 
parasites were few, and only slight nervous troEEbles were preseEit. In the other 
(Xo. 12), however (one of the cases of LoiEibai’dy), the nervous troubles were verv 
EEiarked. Aei autopsy Avas perforEned on one of the cases in CataEiia (No. 15), which 
showed that the Avorms had bored ileeply into the Eiiucosa and pi'ovoked Axry con- 
siderable alteratioEis, of Avhich, hoAveAxr, no account is given. 
Cases Xos. 13 to So. — Calandruccio (1890a) reports for CataEiia 23 cases in all, 3 
of which he states Avere observed by Grasse. It is possible that the 2 cases of the 
young Sicilians (7,8) reported by Grasse (1886 a, b, 1887d) are to be iEicluded in 
this number, but tliere seems to lie soEne confusion in the reports of these two 
authoi's as to the identity of the various cases aEid a certain lack of definiteness, so 
that it is not possible to state the figures Avith accuracy. 
The persons examined were mostly young and of the male sex; 21 cases Avei’e 
childixn, 2 adults; Id at least Avere Eiiales, and 3 females, very likely the other 6 
Avere males. In the feces of 20 children, aged 8 to 10 years and atteEiding the saEiie 
rural school Iei Catania, the eggs of Ifumenolepi.'^ nana Avere found 3 times, together 
with the eggs of AscarC. O.viiaris, aEid TrlrfiurC. Of 50 boys, aged 7 to 10 yeai’s, in 
the Ospizio di beneficeEiza of Catania, 4 harbored the parasite. 
Ca.se Xo. 32. — Calaxdrixceo observed the case of a young child, avIio SEiffered from 
seAxre intestinal troubles, Avhich ceased two days after the expulsion of a great nuEii- 
ber of lly menolepis nana. 
tJa.ses Xos. 33 and 34. — He also mentions in soEiie detail 2 cases, adults Avho harbored 
numerous speciEiieEis. They suffered Avith alternatiEig diari’hea and constipation, not 
infrequently Avith abdominal pains, and Avith more or less severe epileptic attacks of 
frequeEEt occurrence. After the eliEEiiEiatioEi of the para.sites, the patieEits experieEice<I 
lEO disturbaEices for several EiiOEiths. The svEiiptOEns later reajApeared, but Avere less 
intense aEid less frequent. The feces Avere reexamined on a number of occasions, but 
no eggs of IhjmenolepC nana coEild be found. This circuEnstance Enade it seeEii very 
probalfie, accordiEig to Cae.axeerexceo, that the two individEials wei’e inherently ej)i- 
leptic and the effect of the tapeworEiis had been that of aggraA'ating the symptoms 
and rendei’ing them more intense and more fi’equent. 
C<tse Xu. 3d. — The ca.<e of a feEiiale child, 4 years old, is referi’ed to by Grasse iVc 
I’alaxdrucceo (1887a). Although this patient harbored thousands of Il^/menoIepC, 
she showed no syEiiptoms except occasional aVxloEninal paiiis of ti’ansitory natEire. 
Grasse (Gr.a.sse A Roaxlle, 1892a) speaks of seAxral ('ases occurring during 1890- 
1891 among childi’en of well-to-do families, biit giAxs nodetailed accouEit of them. 
Varese, Italy, 1884-1886 '2 cases. 
Ca.se X). 36. — Comexe (1887 a, e 1, 1888 a) repoi’ts a case of Hymenolepis nana in a 
boy, 9 yeaE’s of age, born and living in GaA’irate. The parents of the patient Avere 
healthy, but a paternal aunt had died Avith syEiiptoms of insanity. At 14 months 
of age he had been treated Avith .santonin for Avornis; after taking the drug his skin 
liecame cold, the lips and face blue, eyes staring, and Ixidy stiffeneil. After recoAxr- 
ing from the immediate effects of the .'^antonin he was left Avith a slight paresis of 
the extremities of the right side; this symptom, however, disapjieared in a month 
without leaving any traces. ^He passed a great number of O.vyuris in June, 1884, 
after ti’eatment Avith an anthelminthic clyster. On July 4 the boy was seen to 
become suddenly pale and comatose. After a feiv minutes the condition of coma 
Avas succeeded by violent clonic contractions, trismus, and foaming at the mouth. 
This coiiA’ulsiA'e attack lasted about tAvo hours, and Avas folloAved again by coma of 
seA'ei’al hours’ duration. 
On the 25th of August there Avere a couple of attacks of an epileptic natui’e, 
Avhich up to the 14th of Septemlier were of daily occurrence, sometiEiies as many as 
6 in tAventy-four houi’s. After this the attacks ceased. 
