Parasites: A Treatise on the Entozoa of Man and Animals: Including Some Account of the EctozoaCobbold, T. Spencer (Thomas Spencer)
Science
Parasites: A Treatise on the Entozoa of Man and Animals: Including Some Account of the Ectozoa
Cobbold, T. Spencer (Thomas Spencer)
Helminths; Parasites
As the scope and tendency of this work preclude the textual admission
of clinical details, I must limit my remaining observations to the
pathology of hydatid disease. At very great labor, pursued at distant
intervals during a period of ten years, I sought to ascertain the
probable extent and fatality of this form of parasitism in England,
by going over such evidence as our pathological museums might supply.
Although, from a statistical point of view, the investigation could
hardly be expected to yield any very striking results; yet clinically
viewed the study was most instructive. The evidence which I thus
procured of numerous slow and painful deaths from echinococcus
disease, further stimulated me to place a summary of the facts on
record. Physicians, surgeons, scientific pathologists, and veterinary
practitioners are alike interested in the study of hydatid disease; and
I had not proceeded far in my careful investigation before it became
evident to me that very great practical results would ensue if, in this
kind of effort, the principle of division of labor had full play. At all
events, within these museums lie concealed a mass of pathological data
which, although well within reach, have not been utilised to the extent
they ought to have been.
As a student of parasites for some thirty years, I must without offence
be permitted to protest against the too frequent omission of parasites
in statistical evidence as a cause of mortality. From facts within my
own knowledge I can confidently assert that parasites in general, and
hydatids in particular, play a far more important part in the production
of disease and death than is commonly supposed. In saying thus much,
however, I am not insensible to the fact that, in recent times, new
methods of treatment combined with higher surgical skill, have greatly
tended to lessen the fatality of this affection. In this connection I
would especially refer to the recorded experiences of an able colonial
surgeon, Dr MacGillivray, as made known in the pages of the ‘Australian
Medical Journal.’ The able surgeon to the Bendigo Hospital, treated as
in-patients, from 1862 to 1872, inclusive, no fewer than seventy-four
cases of hydatid disease. He operated on fifty-eight of them. Two
patients were tapped for temporary relief (as they were dying of other
diseases); and of the remaining fifty-six only eleven died. No fewer
than forty-five were discharged _cured_--a fact redounding largely, I
should think, to the credit of Australian surgery.
Public-domain text, read in full here on John Shaqi.
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