53 
inel, about 1,000 If. nana wen* passed. The next day the boy had improved, the 
fever had sui^sided, and the intestinal and motor troubles showed signs of dimin- 
ishing. 
When seen on December 11, the patient had gained tlesli And color, but the diar- 
rhea had returned. Hijmenoleph eggs were again present in the feces. On December 
19, male fern was administered and over 120 worms were passed. 
On January 22, 1893, eggs were again found, and after another dose of male fern, 
from a portion of the evacuations following 200 worms were collected. 
Three months later the boy was feeling fairly well. He had no diarrhea, and 
slept well, but there was still some lateral movement of the head. Eggs were found 
in the feces at this time, but no repetition of the treatment was attempted. 
In June of the next year the patient was seen again. He was well nourished, 
lively, and intelligent, but, although in good condition, was not entirely cured of his 
former trouble. The strabismus was still present, and the lateral movement of the 
head still occurred, but only at intervals. For some days he had been suffering 
again from diarrhea. Two months before also he had had an attack of abdominal pain 
with fever, which lasted two days. The feces contained eggs of Hymenolepls ami 
Trichuriii. After treatment with male fern and calomel, about 100 Ihimeiioleph were 
passed. 
At an examination made about one year later, the feces were found entirely free 
from Hijmenolepis eggs, but containing an abundance of Ascarls eggs. The clonic 
spasms of the neck still continued, due perhaps to the reflex irritation from the 
Aficaris. 
Case Xo. 50. — Rossini, of Pisa, treated a well-to-do young man, 20 years old, from 
Pescia, near Pi.sa, for Tsenki. Besides a Tienia saginafa, about 1,000 Hymenolepis uaua 
were passed as a result of the treatment, and the specimens were referred by Rossini 
to Soxsixo (1895a) for determination. An anamnesis of this case could not l)e 
procured. 
St. Petersburg, Russia, ISliO 1 ca.se. 
Case Xo. 51. — In 1890 Professor Af.\xasyeff, according to Gi seff (1892a, 1893a), 
found a case of Hymenolepis aana at St. Petersburg. 
Moscow, Russia, 1892 1 case. 
Case Xo. 52. — Guseff (1892a, 1893a) reports a case of Hymenolepis nana in a child 
1^ years old at ^Moscow. About 200 worms were passed after treatment. This case 
is also mentioned by Zograf (1893). 
Cologne, Germany, 1892 case. 
Case Xo. 5S. — The first case of infection with Hymenolepis nana in Germany was 
reported from the Biirger-Hospital, at Cologne, by Leichtexsterx (1892), and more 
at length by Mertexs (1892). 
A boy 6 years old was brought to the hospital in ]\Iarch, 1892, to be treated for 
O.ryuris. According to his mother he picked at his nose a great deal, had never 
shown, however, any symptoms of intestinal disorder, nor had he ever suffered 
from any nervous affection. Examination showed the patient healthy in every 
respect. Feces were normal in color and consistency, with an occasional Oxyuris, 
and eggs of Hymenolepis nana. Santonin was administered for 3 days in doses of 
0.025 grams daily. Oxyuris were passed, but no tapeworms. Five grams of male 
fern in 2 doses, followed by salts, were then tried, and 300 to 350 Hymenolepis were 
passed. The patient experienced no bad effects from the treatment and left the 
hospital ill a day or two. Eggs were not present in the feces until after a lapse of 
about 15 days, when they reappeared. In May the boy returned to the hospital. 
A number of enumerations gave a result of 6,400 eggs to 1 cc. of feces. Three doses 
of male fern, 2.5 grams each) followed by salts, were administered, and 305 worms 
