The Animal Parasites of ManFantham, Harold Benjamin
Science
The Animal Parasites of Man
Fantham, Harold Benjamin
Medical parasitology
[The host in Europe is _Limnæus truncatulus_. This snail extends from
Siberia to Sicily and Algeria, and according to Captain Hutton is a
native of Afghanistan. It also occurs in Thibet, Amoor, Morocco,
Tunis, Canary Islands and the Faroe Islands. It deposits its eggs or
spawn upon the mud around ponds, ditches and streams. The eggs are laid
in batches of thirty to a hundred, each snail laying as many as 1,500
eggs; they are united into strips of a gelatinous substance. In about
two weeks young snails appear. It is amphibious, being more frequently
met with out of the water than in it. It occurs in elevated spots as
well as in low-lying districts. Moquin-Tandon found it at 4,000 feet
in the Pyrenees. In the allied species, _L. peregra_, the fluke will
develop up to a certain stage, but never completes all its varied
phases.
[In South America the host is probably _Limnæus viator_, Orb., and in
North America _Limnæus humilis_, Say.--F. V. T.]
In human beings as well as in some of the mammals quoted above, the
liver fluke is only a casual parasite, and hitherto only twenty-eight
cases have been observed in man; the infection was mostly a mild one
and there were no symptoms, or only very trifling ones; a few isolated
cases were only discovered _post mortem_. Occasionally, however, even
when the infection was inconsiderable, severe symptoms were set up,
which in isolated cases led to death. The symptoms (enlargement and
painfulness of the liver, icterus) merely pointed to a disease of the
liver.
_Diagnosis_ can only be established by finding eggs in the fæces. Care
should be taken not to confuse them with those of _Dibothriocephalus
latus_.
HALZOUN.
[Illustration: FIG. 144.--Young _Fasciola hepatica_, soon after
entry into the liver. The intestinal cæca have lateral diverticula.
Magnified. (From Leuckart.)]
In North Lebanon, the liver fluke is, according to A. Khouri, a
frequent parasite of man, not in the liver, however, but in the
pharynx. The occurrence in this unusual site is effected by the eating
of raw infected livers, especially those of goats (_Capra hircus_). The
flukes thus taken in do not all reach the stomach, where they would
be soon killed, but some of them attach themselves to the pharyngeal
mucosa and to the adjoining parts, and there cause inflammation and
swelling, which lead to dyspnœa, dysphagia, dysphonia and congestion of
the head, sometimes even to still more severe symptoms, and even death.
The affection termed “Halzoun” lasts some hours or several days, and
after vomiting recovery sets in. In other cases man becomes infected in
the usual way by ingesting cysts attached to grass or the underside of
leaves of plants (_e.g._, Rumex sp.), where they are overlooked from
their scanty size (0·2 to 0·3 mm.).
[Illustration: FIG. 145.--_Fasciola gigantica._ × 6-1/2 (After Looss.)]
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