. Annals of tropical medicine and parasitology. Parasites. 284 in the lungs was emphysema along the inner margins of the lower lobes of both lungs. The vessels on the surface of the brain were dilated. The pericardium contained about an ounce of fluid. The jejunum, from a point about twelve inches below the pylorus, was thickened throughout its whole circumference for a distance of five inches (Plate XIII, figs. 2-4). In this part the gut wall was about 8 mm. thick, as compared with about 3 mm. in the normal part of the jejunum; the mucosa over the whole affected area was friable. At the comme
. Annals of tropical medicine and parasitology. Parasites. 284 in the lungs was emphysema along the inner margins of the lower lobes of both lungs. The vessels on the surface of the brain were dilated. The pericardium contained about an ounce of fluid. The jejunum, from a point about twelve inches below the pylorus, was thickened throughout its whole circumference for a distance of five inches (Plate XIII, figs. 2-4). In this part the gut wall was about 8 mm. thick, as compared with about 3 mm. in the normal part of the jejunum; the mucosa over the whole affected area was friable. At the commencement of this thickened area there was a conical tumour projecting into the lumen of the gut. The base of tliis tumour was about 3 cm. in diameter, and its apex projected 15 cm. into the lumen of the gut. No other lesions were found in the gut. Microscopic. Filariform Strongyloides larvae were found in lung smears (Text-fig. i). Sections of the lung showed emphysema in the. Fig. 1. Filariform larva of S/rongy/oirfes in the lung. immediate neighbourhood of the haemorrhages. This emphysema was probably acute following on the haemorrhages and dyspnoea. Filariform Strongyloides larvae were found in scrapings of the mucous membrane of the trachea and bronchi. Rhabditiform larvae were present in the trachea, but these were derived from vomited material drawn into the trachea before death. Filariform Strongyloides larvae were also discovered in blood from the right ventricle, in the pericardial fluid, in the liver and spleen. The size of the larvae varied in length from 0324 mm. to 0442 mm., and in width from 0'0i6 mm. to o;o22 mm. No larvae were found in the brain, and the vascular dilation was probably due to the dyspnoea preceding Please note that these images are extracted from scanned page images that may have been digitally enhanced for readability - coloration and appearance of these illustrations may not perfectly resemble the original Liverpool School of Trop
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectparasites, bookyear19
