80 Human intestinal Infections observed in Malta 
9 
of thymol. Sometimes the dead worms were found in the stools, usually in 
a state of decomposition. 
The largest infection with Ascaris occurred in a labourer from Burma. 
The eggs of this worm were found in the stool in thousands, and so santonin 
grs. iii was given. I actually counted out 55 adult round worms, passed from 
time to time, and the isolation orderlies told me that at least another 
50 worms were thrown away in a decomposed condition. All these worms 
were expelled dead, after a single treatment, and no more eggs appeared in 
the stool. This man was also infected with E. histolytica, Ankylostoma, and 
T. trichiura. 
Multiple infections were more common among the Chinese, and three 
examples of this may be given for illustration. These three men were French 
Colonial Tirailleurs, or Riflemen. Their infections were as follows: 
(1) Ascaris, Ankylostoma, Schistosomum japonicum, Trichuris trichiura, 
Clonorchis sinensis, and Entamoeba histolytica. 
(2) Ascaris, Ankylostoma, Schistosomum japonicum, Trichuris trichiura, 
Strongyloides stercoralis, Taenia saginata, and Entamoeba histolytica. 
(3) Ascaris, Trichuris trichiura, Schistosomum japonicum, Ankylostoma, 
and Entamoeba histolytica. 
This last case was that of a Chinaman with cerebro-spinal meningitis and 
diphtheria. 
Autojpsy: Body Wasted. Excess of fluid at base of brain. A little flaky lymph in region 
of 4th ventricle and fissure of Sylvius. All superficial vessels congested. Slight excess of 
fluid in 3rd and lateral ventricles. Choroidal plexus congested. No pleurisy. Both lungs 
congested and oedematous at their bases. Nothing abnormal found in larynx, trachea, or 
bronchi. Heart, nothing abnormal discovered. Abdomen: Portal veins and principal 
branches dissected out. No Schistosomum japonicum found. Congestion of mucous mem¬ 
brane of colon, extending to upper part of rectum. Three or four small discrete ulcers, 
apparently amoebic, in caecum and ascending colon. A fair number of Ankylostoma duo- 
denote (worms) recovered from washings of contents of duodenum and jejunum; none found 
attached to mucous membrane. A large number of ecchymoses found on mucous membrane 
of duodenum and jejunum. Worms all contained blood. One alive, others dead. A great 
tangled mass of Trichuris trichiura and one Ankylostoma were obtained from washings of 
contents of caecum. No ascarids found. (Patient had been treated, and during life had 
vomited up four ascarids and passed another twenty per rectum.) 
Cause of death: Cerebro-spinal Meningitis, Amoebiasis. 
Another interesting case is that of an old Chinese labourer, age not ascer¬ 
tained, who was admitted to hospital with “P.U.O.” (Pyrexia of unknown 
origin.) Stool examination disclosed an immense number of Clonorchis 
sinensis eggs and nothing else. Nothing otherwise abnormal was detected, 
and the man died a fortnight after admission. 
