=Taenia Saginata.=—This is derived from beef, and is much longer and
larger than the taenia solium. It is from five to six yards in length;
the head is over two millimeters in breadth, is square shaped, and
has four large sucking discs, without hooklets; hence it is called
the unarmed tape-worm, in contra-distinction to the hooked variety.
The segments are thicker and the ova larger, and they are passed and
ingested in the same manner as the taenia solium.
=Bothriocephalus Latus.=—This is found especially in Europe and is very
long, measuring from eight to ten yards; it is derived from fish, is
not provided with hooklets, but has two lateral grooves. The segments
are short and wide, the sexual organs being on the narrow side of the
segment.
=Etiology.=—Unhealthy condition of the stomach and intestines is the
predisposing, and uncleanliness an important, factor in the occurrence
of tape-worm. Those eating imperfectly cooked beef, pork, fish or other
meats, and those handling fresh meats, are liable to be affected with
tape-worm.
When the ovum is taken into the stomach the capsule is dissolved and
the embryo passes into the small intestines, fastening itself into the
mucous membrane, by its hooklets and suckers and grooves.
=Symptoms.=—Tape-worms occur in the human being at all ages. Oftentimes
symptoms are absent, the expulsion of segments being noticed and thus
the worms accidentally discovered. The tape-worm is seldom dangerous,
but if a worm is known to exist it is always a source of considerable
anxiety on the part of the patient. Severe anemia may result and be
wrongly diagnosed.
There are dyspeptic symptoms, colicky pains, nausea and occasionally
diarrhea. The appetite is variable, sometimes ravenous. This condition
is followed by loss of flesh and various reflex phenomena, as vertigo,
headache, convulsions, palpitation, choreic movements, itching of the
nose and anus, paralysis, and rarely, insanity. In addition to these
symptoms there may be a wrinkled countenance, sensation of a cold
stream winding itself toward the back immediately after a meal, pain
in various parts of the body and ringing in the ears. The decisive
diagnostic symptom is to find segments of the worm in the stools.
=Diagnosis.=—Discovery of the ova or segments in the passages of the
bowels is the only proof of the presence of a tape-worm.
=Prognosis.=—Favorable in all cases.
=Treatment.=—Prophylactic treatment is necessary. Meats should be
thoroughly cooked so that the larvæ will be destroyed; and all segments
of tape-worms passed in the stools should be burned—by no means should
they be thrown outside or in the water-closet.
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