Handbook of Medical EntomologyRiley, William A. (William Albert)
Science
Handbook of Medical Entomology
Riley, William A. (William Albert)
Insect pests; Insects as carriers of disease; Medical parasitology
Numerous cases of opthalmia nodosa are on record. Of those from this
country, one of the most interesting is reported by de Schweinitz and
Shumway (1904). It is that of a child of fifteen years whose eye had
become inflamed owing to the presence of some foreign body. Downward and
inward on the bulbar conjunctiva were a number of flattened,
grayish-yellow nodules, between which was a marked congestion of the
conjunctival and episcleral vessels (fig. 41_a_). Twenty-seven nodules
could be differentiated, those directly in the center of the collection
being somewhat confluent and assuming a crescentic and circular
appearance. The nodules were excised and, on sectioning, were found to
be composed of a layer of spindle cells and round cells, outside of
which the tissue was condensed into a capsule. The interior consisted of
epithelioid cells, between which was a considerable intercellular
substance. Directly in the center of a certain number of nodules was
found the section of a hair (fig. 41_b_). The evidence indicated that
the injury had resulted from playing with caterpillars of one of the
Arctiid moths, _Spilosoma virginica_. Other reported cases have been
caused by the hairs of larvæ of _Lasiocampa rubi_, _L. pini_,
_Porthetria dispar_, _Psilura monacha_ and _Cnethocampa processionea_.
[Illustration: 41_b_. Section through one of the nodules showing the
caterpillar hair. De Schweinitz and Shumway.]
RELIEF FROM POISONING BY NETTLING LARVÆ--The irritation from nettling
larvæ is often severe and, especially in regions where the brown-tail
abounds, inquiries as to treatment arise. In general, it may be said
that cooling lotions afford relief, and that scratching, with the
possibilities of secondary infection, should be avoided, in so far as
possible.
Among the remedies usually at hand, weak solutions of ammonia, or a
paste of ordinary baking soda are helpful. Castellani and Chalmers
recommend cleaning away the hairs by bathing the region with an alkaline
lotion, such as two per cent solution of bicarbonate of soda, and then
applying an ointment of ichthyol (10%).
In the brown-tail district, there are many proprietary remedies of which
the best ones are essentially the following, as recommended by Kirkland
(1907):
Carbolic acid ½ drachm.
Zinc oxide ½ oz.
Lime water 8 oz.
Shake thoroughly and rub well into the affected parts.
In some cases, and especially where there is danger of secondary
infection, the use of a weak solution of creoline (one teaspoonful to a
quart of water), is to be advised.
VESCICATING INSECTS AND THOSE POSSESSING OTHER POISONS IN THEIR BLOOD
PLASMA
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