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
Considering
that the Gammeleira would have a drastic effect, I therefore prescribed
two grammes of elaterium, to be divided into eight doses, of which he
should take one every three hours.” Dissatisfied with this advice,
however, Dr Wucherer goes on to say that on reaching home he carefully
looked up the literature of the subject. “In a ‘Geologico-Medical
Report’ by Professor Hirch, recorded in the ninety-sixth volume of
‘Schmidt’s Jahrbucher,’ I found how Griesinger had recognised the
_Anchylostoma_ as the cause of the Egyptian chlorosis, which was
clearly identical with our _hypoæmia_. He had employed this commended
anthelmintic. I resolved the more to prescribe the pulp of the
Gammeleira when I found it described as a worm-expelling remedy in
Martin’s ‘Systema Materiæ Vegetabilis Braziliensis.’ The next morning,
however, when I arrived at the monastery I learnt that my patient died
about two hours after a slight evacuation. Only after much resistance
would they permit the _sectio cadaveris_. I merely opened the abdomen,
and was surprised to find everything as Griesinger had described. During
the next season, through the courtesy of my colleagues attached to the
General Infirmary at Bahia, especially of Drs Silva Lima, Faria, and
Caldos, I was enabled to open more than twenty bodies of anæmically
deceased individuals. All were selected as miserably poor in condition,
but only five were bodies of persons in whom hypoæmia was diagnosed,
and in these there were a great number of Anchylostomes in the small
intestine. The intestines of the other bodies contained either none,
one, or a few.” Dr Wucherer next states that he compared the characters
presented by his entozoa with those given by Dubini, Diesing, and Von
Siebold, and found a perfect agreement throughout. He sent several
examples to Griesinger, who also established their identity, and
communicated the results of his investigations accordingly (‘Archiv für
Heilkunde,’ 1866, s. 387. See also Leuckart, ‘Die Mensch. Par.,’ Bd ii,
s. 411). Dr Wucherer also forwarded a number of specimens to Dr Weber,
who published a brief account of them with excellent figures (‘Path.
Soc. Trans.,’ vol. xviii, 1867, p. 274). As mentioned in the text of
his memoir (s. 394), Dr Wucherer also transmitted some strongyloids to
myself. “The publication of my observations,” adds Dr Wucherer (‘Gazeta
Medica da Bahia,’ 1866, p. 27 _et seq._), “had a result in that Dr J.
R. de Moura, of Thersepolis, in the province of Rio de Janeiro, sought
for Anchylostomes in the bodies of tropical anæmics (_Hypöæmikern_).
He at once found these parasites, as stated in the same journal (for
1866, p. 132). As occurred to myself, he saw no enduring results from
the application of the remedies which appeared to be called for, whilst
he well knew that unprofessional persons (Nichtärzte) succeeded in
obtaining marked results by the exhibition of the pulp of the Gammeleira
(_Ficus doliaria_). The anthelmintic action of this remedy was also
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