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 regards the occurrence of this entozoon in the human body, the best
account is that given by Frerichs. As quoted in my previous work from
Murchison’s edition of Frerichs’ well-known clinical treatise, the
German _savant_ remarks:--“The Pentastoma is a parasite which has only
recently been discovered in the human subject, but it is, nevertheless,
far more common in the human liver than the echinococcus. It is devoid
of clinical importance, because it does not give rise to any functional
derangements. Pruner (‘Krankheit des Orients,’ 1847, s. 245) was the
first who pointed out the existence of the Pentastoma in the human
liver. On two occasions he found an encysted parasite in the liver of
negroes at Cairo, the nature of which, however, he did not accurately
determine. Bilharz and Von Siebold (‘Zeitschr. für Wissench. Zoologie,’
Bd. iv, s. 63) recognised in it a new variety of Pentastoma, to which
he gave the name of _P. constrictum_. In Germany the Pentastoma was
found in the human liver by Zenker (‘Zeitschr. f. ration. Med.,’ 1854,
Bd. v, s. 224); it occurs, however, not only in this gland, but also
in the kidneys, and in the submucous tissue of the small intestine
(Wagner). The parasite is by no means rare with us. Zenker, at Dresden,
succeeded in finding it nine times out of 168 autopsies; Heschl, at
Vienna, met with it five times out of twenty autopsies; Wagner, at
Leipsig, once in ten. According to Virchow, it is more common in Berlin
than in Central Germany. During six months at Breslau I met with it
in five out of forty-seven dead bodies. The Pentastoma-endemic in
Germany is not identical with that which occurs in Egypt; the former is
the _P. denticulatum_ of Rudolphi.” This clear statement of Frerichs
is valuable; but, as Murchison has also pointed out, there is some
discrepancy between Frerichs and Küchenmeister’s record of Zenker’s
experience. According to Küchenmeister, Zenker met with the Pentastoma
thirty times in 200 autopsies.
Although from a purely clinical point of view, and speaking generally,
this worm, as Frerichs says, can claim little attention, yet, as we
shall see (when treating of the parasites of the dog), it occasionally
proves fatal to the canine bearer. Not only so, it may even occasion
severe inconvenience to the human bearer. Quite recently a remarkable
instance of this kind occurred in Germany, some notice of which appeared
in the ‘Medical Times and Gazette,’ Jan. 4th, 1879, as follows:
Public-domain text, read in full here on John Shaqi.
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