Infection with Bertiella Studeri

The patient, a European boy, aged five years, had two or three attacks of vomiting without apparent cause on the 29th October. He was given a dose of castor oil on the morning of the 30th and according to his mother passed a stool normal in appearance. About 2 a.m. on the 31st October the boy was seized with an acute attack of pain of a colicky nature, and although considerably relieved by a small dose of brandy he was brought to the British Military Hospital, Fyzabad, the same morning. He was found to have slight abdominal pain but there was* no tenderness. He was given a dose of magnesium sulphate mixture and shortly afterwards passed a stool containing a chain of tapeworm segments. That evening the temperature was 102.2?F. and there was slight abdominal pain and headache. On the 1st November the temperature was normal and the patientpassed several liquid stools after a further dose of magnesium sulphate, but no more worm segments were found. On 2nd November the patient was given three doses of extract of male fern each of ten minims at seven, eight and nine a.m. respectively and the last dose was followed by a dose of magnesium sulphate mixture. No more tapeworm segments were passed and the boy was discharged from hospital the same day apparently quite well and he has remained well for over a month.