Pym" died of this "morbus pedicularis," but as
prejudice and passion militated against him during his life and after
his death, this fact is probably more rumor than verity. A case is
spoken of by Curran, which was seen by an army-surgeon in a very aged
woman in the remote parts of Ireland, and another in a female in a
dissecting-room in Dublin. The tissues were permeated with lice which
emerged through rents and fissures in the body.

Instances of the larvae of the estrus or the bot-fly in the skin are
not uncommon. In this country Allen removed such larvae from the skin
of the neck, head, and arm of a boy of twelve. Bethune, Delavigne,
Howship, Jacobs, Jannuzzi and others, report similar cases. These
flesh-flies are called creophilae, and the condition they produce is
called myiosis. According to Osler, in parts of Central America, the
eggs of a bot-fly, called the dermatobia, are not infrequently
deposited in the skin, and produce a swelling very like the ordinary
boil. Matas has described a case in which the estrus larvae were found
in the gluteal region. Finlayson of Glasgow has recently reported an
interesting case in a physician who, after protracted constipation and
pain in the back and sides, passed large numbers of the larvae of the
flower-fly, anthomyia canicularis, and there are other instances of
myiosis interna from swallowing the larvae of the common house-fly.

There are forms of nasal disorder caused by larvae, which some native
surgeons in India regard as a chronic and malignant ulceration of the
mucous membranes of the nose and adjacent sinuses in the debilitated
and the scrofulous. Worms lodging in the cribriform plate of the
ethmoid feed on the soft tissues of that region. Eventually their
ravages destroy the olfactory nerves, with subsequent loss of the sense
of smell, and they finally eat away the bridge of the nose. The head of
the victim droops, and he complains of crawling of worms in the
interior of the nose. The eyelids swell so that the patient cannot see,
and a deformity arises which exceeds that produced by syphilis. Lyons
says that it is one of the most loathsome diseases that comes under the
observation of medical men. He describes the disease as "essentially a
scrofulous inflammation of the Schneiderian membrane, ... which finally
attacks the bones." Flies deposit their ova in the nasal discharges,
and from their infection maggots eventually arise. In Sanskrit peenash
signifies diseas