99 
with male fern was tried; no worms were expelled, and the diarrhea still persisted, 
ceasing at times, hut always recurring. Later an Ascarin was passed, without im- 
provement of the diarrhea. 
Philadelphia, Pa., 1900 1 case. 
Packaed (1900, p. 1551) describes the case of a woman, 40 years of age, native of 
Syria, who entered the Pennsylvania Hospital at Philadelphia, suffering with a 
hydatid cyst of the liver, from which she died. Shortly after admission she passed 
a fragment of a tapeworm 16.5 cm. long. The segments were 3 mm. wide hy 1 mm. 
long. At the autopsy, about one month after the patient entered the hospital, a 
second specimen was found, attached to the intestine about 2.5 cm. above the ileo- 
cecal valve. The parasite was living when found and measured 27 cm. in length. 
The head was distinctly blackish in color, with a slight purple tinge, and measured 
1 mm. long by 0.5 mm. wide. The neck was 1 cm. long and 1.5 mm. wide. “In 
most of the segments there is seen at one edge a little elevation extending in from 
the edge about 1 mm., corresponding apparently to what has been spoken of in some 
specimens as the yellow spot. These little elevations do not form a complete series, 
as occasionally there is found a segment where the elevation is on the opposite side 
of the segment. There is no appearance about the worm of a true yellow spot. On 
dehydrating segments in absolute alcohol and clearing in oil of cloves there is seen in 
each of a series of 7 segments a dark line less than of a millimeter in thickness 
extending inward toward the center of the segment to a length of 3 mm.” There 
was no branching uterus, the entire proglottis being transformed into an egg-sac. 
The brownish line extended inward from the left side in 5 segments, from the right 
side in 2, as follows: 1, r, 1, r, 1, 1, 1. Viewed under a high power, the brownish line 
was seen to be a canal, sometimes appearing to terminate in a bulbous enlargement. 
EUROPE. 
Alfort, France, before 1810 1 case. 
Kailliet (1892c) makes mention of two fragments of a tapeworm, measuring 
together 18 to 20 cm. in length, and a number of fragments belonging to a second 
example. These specimens, which were labeled as coming from man, belong to an 
old helminthological collection established hy Chabert, second director (1780-1810) 
of the museum at Alfort. Eudolphi visited this collection about the year 1804, and 
since he has made no mention of such specimens in any of his works on helmin- 
thology, Railliet has come to the conclusion that they probably date from a time 
between 1804 and 1810. These specimens were determined hy both Eailliet and 
Zschokke as Hymenolepis diminuta. 
Varese, Italy, 188d 1 case. 
A 2-year-old girl living in the neighborhood of Varese had declined in health and 
lost her usual good spirits. Pieces of tapeworm having been recognized in her stools, 
she was brought to the hospital of Varese for treatment. E. Paroxa (1884), who 
examined the case, found no abnormalities of importance in the jiliysical examina- 
tion. The feces contained the eggs of Ascarls and cestode eggs resembling those of 
Txn'ia solium but much larger. Castor oil and ethereal extract of male fern were 
administered and 4 complete worms, 12 to 20 cm. long, each provided with a head, 
were passed. Treatment was repeated, but no more worms, with the exception of 
an A.scrtri.s, were expelled. Parona considered these worms probable examples of 
Hymenolepis flavopunctata Weinland, a determination which Grassi (18881) confirmed 
after examining some of the material. 
Catania, Sicily, 1887-1888 2 cases. 
Grass! (18881, p. 498, Grassi & Eovelli, 1888b) records a case of Hymenolepis dim- 
inuta from a 12-year-old girl, who exhibited no symptoms of importance. After 
