56 
were present in the feces. .On Septeml^er 1, Hymenolepk eggs were again numerous. 
The next «lay three 0.05 gram doses of santonin were given an hour apart, followed 
hy castor oil, hut neither Hymeriolepis nor Ascaris was found in the passages. Hymeu- 
olepis eggs were not found agam 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 
child showed numerous J.^cari.s eggs, and an average < >f one Hymeuohpis egg in each 
preparation. 
The child was returne<l to the hospital March 15. 1S9S. At that time she was in 
|X>or physical conrlition. She was suffering from eonjunctivitis. scrofular keratitis, 
rhinitis, eczema of the scalp, with glandular swellings in the neck, axilla, and groin. 
Pulse was 120. The feces as iDefore contained eggs of ^Iscnris and IIymenohpi.<. 
During the afternoon of the ISth two teasp«x*nfuls of castor oil were administere«l. 
wliich had no effect. The next morning a tapeworm remedy P>and\vurmtrit< I 
Helfenberg I, in a dose equivalent to 5 grams extract of male fern, was given. followe^I 
in half an hour by two teaspoonfuls of castor < >il. Some of the remedy was thrown 
up, but -1 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 al.-^o given. 
In the stools which followed no worms, but only eggs <:»f and Hymt’vohy>'i.<. 
were to be found. 
Xine months later, in I>ecember. the stcnds were examine<l an«l fouml entirely free 
fi'i:)m eggs. 
Bearing in mind the possibility of infection from infeste^l rats or mice, Rbder 
examined two of the houses at C'ologne in which the patient ha<I lived, and found 
them free from rats. Several examples of mice which were caught there containe-I 
no worms. The new abattoir <;>f Cologne was also free from rats. 
Moscow, Russia, lOnO 1 ca.se, 
Ca-se Xo. S7'. — A curious case, possibly of Hymertolepi-^ mino, ha.< l)een reporte<l by 
Predtetschexsky : 1900) from the propaedeutic clinic of M«.>scow Univei-sity. 
The patient was a female, 33 yeai*s old. wife <>f an othcer, and had never been in 
the Tropics. She was suffering from chyluria of some 10 years standing. In one c*f 
the numerous microscopic preparations which were ma<le '»f the urine sediment 
there were found about 10 sj>ecimens of what appeared t< > lx? cestode eggs, resem- 
blingin size and structure those of Hyrnenolep 'i.^ nami. These lx)dies were round Avith 
a laminated capsule and Avere so transparent that the six hooks, characteristic "f 
restode embryos, Avere clearly distinguishable under an immersion lens. In size the 
eggs measured 20 to 25 y. In no other preparation Avere the eggs seen. Accidental 
c<jntamination seemed, a priori, A'ery evident. an<l since the vessel in which the 
urine had been collected had been carefully cleaned with boile<I Avater, suspicion 
Avas directed toward the feces of the patient, Avhich Avere examined .-e\ eral times, but 
alAA ays Avithout the discovery of any tapeworm eggs. The riddle therefore remaint-d 
unsolved. The remarkable coincidence of the eggs of the rare parasite Jl.^nano. and 
the rare disease, non-tropical chyluria, Avas commented uixaii by the author. He 
further cites the instance of a case of chyluria in ^Madagascar, observed by Doctor 
Ollivier, in the analysis of Avhich 51. Bordier is said to haA-e demonstrated the pres- 
ence of Davainea madaga.^cariensis in the ki<lneys. and considers it possible that 
Ilymenolepjis nona may also settle in the urinary organs and giA'e rise to a true 
chyluria. 
There are a number of possibilities in conneetion AA'ith this case: Fii-st, that the 
eggs were passed in the urine: secoinl, that they came from the feces of the patient: 
third, that they were from the feces of another pei'son, or that they Avere eggs resem- 
bling the eggs of Hymenolepis nona from a tapeworm of some animal, bird, rat., etc., 
and came by some fortuitous circumstance into the preparation. 
There are two objections to thefii’st possibility, namely, the unusual <x-currence of 
