56 
were present in the feces. On September 1, Hymenolepis eggs were again numerous. 
The next day three 0.05 gram doses of santonin were given an hour apart, followed 
hy castor oil, hut neither Ihirnenolepis nor Ascaris was found in the passages. Hymen- 
olepis eggs were not found again up to the time the child was removed from The hos- 
pital on the 9th of September. In December an examination of feces from the 
cliild showed numerous Ascaris eggs, and an average of one Hymenolepis egg in each 
preparation. 
The child was returned to the hospital March 15, 1898. At that time she was in 
poor physical condition. She was suffering from conjunctivitis, scrofular keratitis, 
rhinitis, eczema of the scalp, with glandular swellings in the neck, axilla, and groin. 
Pulse was 120. The feces as before contained eggs of Ascaris and Hymenolepis. 
During the afternoon of the 18th two teaspoonfuls of castor oil were administered, 
which had no effect. The next morning a tapeworm remedy ( Bandwurmtritol 
Ilelfenberg), in a dose equivalent to 5 grams extract of male fern, was given, followed 
in half an hour by two teaspoonfuls of castor oil. Some of the remedy was thrown 
up, but 4 grams more of the extract (in the same preparation) was given with the 
oil. Three-quarters of an hour later an enema of 10 grams of glycerin was also given. 
In the stools which followed no worms, but only eggs of Ascaris and Hymenolepis, 
were to be found. 
Nine months later, in December, the stools were examined and found entirely free 
fr<^m eggs. 
Bearing in mind the possibility of infection from infested rats or mice, Roder 
examined t^vo of the houses at Cologne in which the patient had lived, and found 
them free from rats. Several examples of mice which were caught there contained 
no Avorms. The new abattoir of Cologne Avas also free from rats. 
Moscow, Russia, 1000 1 case. 
Case Xo. 87. — A curious case, possibly of Hymenolepis nana, has been reported by 
pREDTpmscHEXSKY (1900) froiii the propjedeutic clinic of Moscoav University. 
The patient Avas a female, 38 years old, Avife of an officer, and had neA'er been in 
the Tropics. She Avas suffering from chyluria of some 16 years standing. In one of 
the numerous microscopic preparations Avhich Avere made of the urine sediment 
there Avere found about 10 specimens of Avhat appeared to be cestode eggs, resem- 
bling in size and structure those of Hymenolepis nana. These bodies Avere round Avith 
a laminated capsule and Avere so transparent that the six hooks, characteristic of 
cestode embryos, Avere clearly distinguishable under an immersion lens. In size the 
e^^gs measured 20 to 25 p. In no other preparation AA'ere the eggs seen. Accidental 
contamination seemed, a priori, very evident, and since the vessel in which the 
ui’ine had been collected had been carefully cleaned Avith boiled Avater, suspicion 
Avas directed toAvard the feces of the patient, Avhich Avere examined se\'eral times, l)ut 
ahvays Avithout the discovery of any tapeAVorm eggs. The riddle therefore remained 
unsoh’ed. The remarkable coincidence of the eggs of the rare parasite H. nana, and 
the rare disease, non-tropical chyluria, AA'as commented upon by the author. He 
further cites the instance of a case of chyluria in Madagascar, obserA’ed by Doctor 
Ollivier, in the analysis of Avhich M. Bordier is said to haA’e demonstrated the pres- 
ence of Davainea )nadagascanensis in the kidneys, and considers it possible that 
Hymenolepis nana may also settle in the urinary organs and give rise to a true 
chyluria. 
There are a numljer of possibilities in connection Avith this case: First, that the 
eggs Avere passed in the urine; second, that they came from the feces of the patient; 
third, that they Avere from the feces of another person, or that they AA'ere eggs resem- 
bling the eggs of Hymenolepis nana from a tapeAA'orm of some animal, bird, rat., etc., 
and came by some fortuitous circumstance into the preparation. 
There are tAVO objections to the first possibility, namely, the unusual occurrence of 
