59 
“On August 2, 1902, T. O. C., a section foreman of the Galveston, Houston and 
Henderson Railway, presented himself, complaining of a severe diarrhea and cramps 
in the abdomen. His history was as follows: 
“ Family histor}" good. No i^revious sickness of any kind. Present illness began 
in the early part of June, 1902, with headaches and a slight fever. About July 28, 
he was taken with a severe diarrhea and much pain in the bowels. He had from 
ten to twenty stools per day. Passed mucus and blood in the motions. Suffered 
great weakness. 
“He was given a diarrhea mixture and asked to return in case he was not relieved. 
He came back on August 4, stating that he was no better.” 
Amebic dysentery or the presence of some intestinal worm having been suspected, 
an examination of the feces was made which resulted in the discoverv of the eggs of 
H. nana, and after the administration of an anthelmintic, a number of the worms 
themselves were passed. The effect upon the symptoms of the expulsion of the 
worms is not stated in Doctor Moore’s paper. The specific determination of the 
parasites in this case was confirmed in this laboratory. 
Charleston, S. C., 1902 1 case. 
Case iVo. 97. — Stiles (1903a, p. 40), in October, 1902, while examining some of the 
students of the Charleston, S. C., Medical School, found that the stools of one of them 
(Mr. T. ) contained numerous eggs of Hymenolepis nana. The young man was 22 years 
of age, and came from the countr}'. Later examinations showed that he was also 
infected with Uncinaria americana. The symptoms in this case, from what informa- 
tion I have, seem to have been only very slight. The patient complained of a certain 
degree of nervousness. Dr. J. L. Dawson, who has expressed the intention of pub- 
lishing a full clinical history of this case, after the discovery of the eggs, placed the 
patient upon anthelmintic treatment. In a letter to Doctor Stiles he states that hun- 
dreds of the worms were passed. Doctor Dawson kindly furnished this laboratory 
with specimens from this case, which have been entered in the Helminthological 
Collection (No. 9402) of the United States Public Health and Marine-Hospital Service. 
Macon, Ga., 1902 3 cases. 
In November, 1902, while examining 39 children in two orphan asylums at Macon, 
Ga., Stiles (1903a, p. 41, 42) found 3 cases of infection with H. nana. The patients 
were as follows: 
Case No. 98. — R. J., female, 11 years old, from Lumber City, Telfair County, Ga. ; 
a case of light infection. 
Case No. 99. — M. N., female, 13 years old, from Taylor County, Ga. ; a case of very 
heavy infection. 
Case No. 100. — 0. H., male, 16 years old, from IVright, Wilcox County, Ga. ; a 
case of light infection. 
We have no data as to the symptomatology of these cases, nor any information 
with regard to the results of treatment, if such were tried. 
Washington," D. C., 1903 6 cases. 
In a series of about 2,000 fecal examinations of patients at the Government Hospi- 
tal for Insane at Washington, made during 1902-1903 in this laboratory, the eggs of 
Hymenolepis nana were encountered six times. 
Case No. 101. — The patient in this case was a woman (white); aged, about 60; an 
inmate of the hospital for a good many years. Shortly after the examination, when 
the eggs were discovered, the patient was sick for several days. We have had no 
information as to the exact nature of the ailment. Specimens of several stools taken 
during this time were liquid in character and no eggs were to be found, nor were any 
«See also footnote, p. 7. 
