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
The museum connected with St Mary’s Hospital Medical School, in addition
to several liver cases, contains one interesting example of hydatids
of the lung (Dr Chambers’s case), and also three valuable preparations
illustrating Mr Coulson’s remarkable case of hydatids affecting the
tibia. One of the preparations shows the bone itself, which was
eventually removed at the joint, the operation having been performed by
Mr Spencer Wells.
Here, perhaps, it will not be out of place to mention as a fact of
special clinical interest that I have encountered records of no fewer
than nine other similar cases where hydatids have taken up their abode
in the tibia, generally selecting the head or upper part of the bone.
Some of my notes have been mislaid, but, speaking from recollection, one
of the choicest specimens which I have examined is that contained in
the pathological museum of the Nottingham Hospital.
When I first went over the collection of the Middlesex Hospital Museum,
I found it to contain fifty-four preparations of entozoa, of which some
fourteen only were true hydatids, representing as many separate cases.
There are now upwards of a score of preparations of hydatids, several of
the cases having already had ample justice done to them by Dr Murchison
in his well-known memoir (‘Edinb. Med. Journ.,’ Dec., 1865). Amongst
the most interesting preparations I would especially call attention
to two fine and genuine specimens from the kidney, another very large
example of an hydatid situated between the bladder and rectum, a simple
acephalocyst removed from the orbit (Mr Hulke’s case), and the hydatid
removed from the axilla by the late Mr Charles Moore. There is a jar
containing hundreds of hydatids that were taken from the thoracic cavity
of a dissecting-room subject, who was reported to have died of phthisis;
and there is another preparation of an hydatid of the heart, which
also proved fatal, without there having been the slightest suspicion
entertained as to the true nature of the disease. For this fine
preparation the museum stands indebted to Dr Moxon, of Guy’s Hospital.
Several of the liver cases are particularly instructive; but amongst
the specimens presented by Mr Mitchell Henry is a small bottle full of
minute hydatid vesicles, all of which were removed from the interior of
the tibia. The history of this case has been lost; and, unfortunately,
the bone from which the parasites were taken does not appear to have
been preserved.
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