A practical treatise on urinary and renal diseases : including urinary deposits . appeared in the fresh urine x 100. (AfterHarley.) An example of this curious disease came under my noticelast year in the person of a groom, who had been in theemploy of the Viceroy of Egypt. I am indebted to my friend,Dr. Simpson, for an opportunity of examining the case. Q Q 594 BILHARZIA HjEMATOBIA. William Eay, set. 19, was admitted into the Manchester Infirmary underDr. Simpson, in February, 1871. He stated that rather more than twoyears ago he went to Cairo, as groom in the service of the Viceroy ofEgypt. A
A practical treatise on urinary and renal diseases : including urinary deposits . appeared in the fresh urine x 100. (AfterHarley.) An example of this curious disease came under my noticelast year in the person of a groom, who had been in theemploy of the Viceroy of Egypt. I am indebted to my friend,Dr. Simpson, for an opportunity of examining the case. Q Q 594 BILHARZIA HjEMATOBIA. William Eay, set. 19, was admitted into the Manchester Infirmary underDr. Simpson, in February, 1871. He stated that rather more than twoyears ago he went to Cairo, as groom in the service of the Viceroy ofEgypt. After a stay of some months, he went to Alexandria for thesummer, returning to Cairo in the winter. He returned to this countryabout four months ago. While in Egypt he had been in the habit ofdrinking the water of the Nile unfiltered, and of eating water-cressesfreely; with one or two exceptions, he invariably rode horses four months after his arrival in Cairo, he observed that he passedbloody-looking urine, and shortly afterwards he suffered pain in the back. Fig. 75. Bilharzia in urine. 1. Free embryos—showing the different shapes theyassume as they swim about in the urine. 2. Ova containing unhatched Empty shells from which the ova have escaped. and perinseum when riding. Since then he has persistently passed turbidurine containing blood. He is now very anaemic and thin, but in fairhealth apart from the urinary affection. On the 10th of March I examinedthe patients urine. The specimen was a fair sample of what he generallypassed. It was smoky and turbid, with an abundant reddish-white depositin which might be seen little flakes of blood-clots ; it was neutral to test-paper, sp. gr. 1010, and contained a little albumen—rather more than theblood and pus would account for. Under the microscope, the deposit wasseen to consist mainly of pus, mixed, however, with blood, both in theform of shreddy clots and as free corpuscles. Both ova and free embry
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