aving for its nucleus a worm. Fontanelle
presented to the Royal Academy of Medicine of Paris several yards of
tapeworm passed from the urethra of a man of fifty-three. The following
is a quotation from the British Medical Journal: "I have at present a
patient passing in his urine a worm-like body, not unlike a tapeworm as
far as the segments and general appearance are concerned, the length of
each segment being about 1/4 inch, the breadth rather less; sometimes 1
1/2 segments are joined together. The worm is serrated on the one side,
each segment having 1 1/2 cusps. The urine pale, faintly acid at first,
within the last week became almost neutral. There was considerable
vesical irritation for the first week, with abundant mucus in the
urine, specific gravity was 1010; there were no albumin nor tube-casts
nor uric acid in the urinary sediments. Later there were pus-cells and
abundant pus. Tenderness existed behind the prostate and along the
course of left ureter. Temperature of patient oscillated from 97.5
degrees to 103.2 degrees F. There was no history at any time of
recto-vesical fistula. Can anyone suggest the name, etc., of this
helminth?"

Other cases of worms in the bladder are mentioned in Chapter XIII

Mitra speaks of the passage of round-worms through the umbilicus of an
adult; and there is a case mentioned in which round-worms about seven
inches long were voided from the navel of a young child. Borgeois
speaks of a lumbricoid worm found in the biliary passages, and another
in the air passages.

Turnbull has recorded two cases of perforation of the tympanic membrane
from lumbricoides. Dagan speaks of the issue of a lumbricoid from the
external auditory meatus. Laughton reports an instance of lumbricoid in
the nose. Rake speaks of asphyxia from a round-worm. Morland mentions
the ejection of numerous lumbricoid worms from the mouth.

Worms have been found in the heart; and it is quite possible that in
cases of trichinosis, specimens of the trichinae may be discovered
anywhere in the line of cardiac or lymphatic circulation. Quoted by
Fournier, Lapeyronnie has seen worms in the pericardial sac, and also
in the ventricle. There is an old record of a person dying of
intestinal worms, one of which was found in the left ventricle. Castro
and Vidal speak of worms in the aorta. Rake reports a case of sudden
death from round-worm; and Brown has noted a similar instance.

The echinococcus is a tiny cestode which is