ks of a fully-matured tapeworm being
expelled from a child five days old. Kennedy reports cases in which
tapeworms have been expelled from infants five, and five and one-half
months old. Heisberg gives an account of a tapeworm eight feet in
length which came from a child of two. Twiggs describes a case in which
a tapeworm 36 feet long was expelled from a child of four; and Fabre
mentions the expulsion of eight teniae from a child. Occasionally the
tapeworm is expelled from the mouth. Such cases are mentioned by Hitch
and Martel. White speaks of a tapeworm which was discharged from the
stomach after the use of an emetic. Lile mentions the removal of a
tapeworm which had been in the bowel twenty-four years.

The peculiar effects of a tapeworm are exaggerated appetite and thirst,
nausea, headaches, vertigo, ocular symptoms, cardiac palpitation, and
Mursinna has even observed a case of trismus, or lockjaw, due to taenia
solium. Fereol speaks of a case of vertigo, accompanied with epileptic
convulsions, which was caused by teniae. On the administration of
kousso three heads were expelled simultaneously. There is a record of
an instance of cardiac pulsation rising to 240 per minute, which ceased
upon the expulsion of a large tapeworm. It is quite possible for the
presence of a tapeworm to indirectly produce death. Garroway describes
a case in which death was apparently imminent from the presence of a
tapeworm. Kisel has recorded a fatal case of anemia, in a child of six,
dependent on teniae.

The number of ascarides or round-worms in one subject is sometimes
enormous. Victor speaks of 129 round-worms being discharged from a
child in the short space of five days. Pole mentions the expulsion of
441 lumbricoid worms in thirty-four days, and Fauconneau-Dufresne has
reported a most remarkable case in which 5000 ascarides were discharged
in less than three years, mostly by vomiting. The patient made an
ultimate recovery.

There are many instances in which the lumbricoid worms have pierced the
intestinal tract and made their way to other viscera, sometimes leading
to an anomalous exit. There are several cases on record in which the
lumbricoid worms have been found in the bladder. Pare speaks of a case
of this kind during a long illness; and there is mention of a man who
voided a worm half a yard long from his bladder after suppression of
urine. The Ephemerides contains a curious case in which a stone was
formed in the bladder, h