53 
mel, about 1,000 H. nana were passed. The next day the boy had improved, the 
fever had subsided, and the intestinal and motor troubles showed signs of dimin- 
ishing. 
When seen on December 11, the patient had gained tiesh and color, but the diar- 
rhea had returned. Hi/menolepis egga were again present in the feces. On December 
10, 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 latei- 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 i>ain 
with fever, which lasted two days. The feces contained eggs of Hymenolepis and 
Trichurii^. After treatment with male fern and calomel, about 100 ILfmenoIepis were 
passed. 
At an examination made about one year later, the feces were found entirely free 
from Hymenolepis eggs, but containing an abundance of Ascaris eggs. The clonic 
spasms of the neck still continued, due perhaps to the reflex irritation from the 
Ascaru. 
Case Xo. 50. — Rossini, of Pisa, treated a well-to-do young man, 20 years old, from 
Pescia, near Pisa, for Tiimia. Besides a Tamia saginata, about 1,000 Hymenolepis nana 
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 be 
procured. 
St. Petersburg, Russia, 1890 1 case. 
Case Xo. 51. — In 1890 Professor Afaxasyeff, according to Guseff (1892a, 1898a), 
found a case of Hymenolepis nana at St. Petersburg. 
Moscow, Russia, 1892 I case. 
Case Xo. 52. — Guseff (1892a, 1893a) reports a case of Hymenolepis nana in a child 
11 years old at IMoscow. About 200 worms were passed after treatment. This case 
is also mentioned by Zograf (1893). 
Cologne, Germany, 1892 : i case. 
Case Xo. 53. — 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 Hertexs (1892). 
A boy 6 years old was brought to the hospital in IMarch, 1892, to be treated for 
Oxynris. 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 Oxyuei^, 
and eggs of Hymenolepis nana. Santonin was administered for 3 days in doses of 
0.025 grams daily. Oxynris 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 in 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 
