Bilharziosis / by Frank Cole Madden.

  • Madden, Frank Cole.
Date:
1907
Catalogue details

Licence: Public Domain Mark

Credit: Bilharziosis / by Frank Cole Madden. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    moved from the possibility of re-infection; and can never occur among the ordinary rank and file of the sufferers from this disease, namely the agricultural labourers of Egypt. Even though a patient exiles himself entirely from Egypt, cases are reported in which ova have continued to be passed in the urine for several years afterwards. What it is that leads to the death of the worm within the body we do not know; but it is comforting, to some extent, to realise that this happy result does sometimes occur, though, even after the death of the worms, symptoms may persist for a long time, until all the ova are eliminated from the body in the urine or faeces or encapsuled. In the earliest clinical stages of the disease, when some slight irritability and painless and temporary hematuria are present, very good results frequently follow the administration of the liquid extract of male fern, given regularly in fifteen minim (1.0) doses, three times a day, in capsule. A long course of male fern and washing out the bladder with increasingly strong solutions of nitrate of silver, starting with a 1 in 10,000 solution, or with a four per cent, solution of quinine, has sometimes a good effect in checking the hematuria and relieving the irri- tation. Boracic acid in five grain (0.30) cachets three times a day, or irrigations of the bladder with adrenalin in normal saline solution, may also prove of service. One also gives full directions as to diet, but it must be admitted that, even if such are carried