ON A SPECIES OF FILARIA FOUND IN THE IN TERIOR OF THE VASCULAR SYSTEM OF A DOG: RELATIVE TO THE FILARIA IN THE BLOOD, AND THE OVA AND LARVq OF A NEMATOID WORM IN THE URINE, OF MAN

F WELCH
1873 The Lancet  
336 It seemed that two months previously, whilst at dinner, he suddenly lost his speech without any failure of consciousness, and an attack of precisely similar character had occurred five or six times since. Described in detail it was this. He suddenly found himself unable to hold things with his right hand. A peculiar sensation then travelled up from the two first fingers of that hand into his arm, which became numbed so that he could not move his fingers. Thence it passed to the right cheek,
more » ... to the right cheek, which it seemed to draw up as in a knot, and his tongue was then drawn over to the right side, so that for a minute or two he could not speak a word. In a few minutes the sensation disappeared, and the arm resumed its normal condition. But the power of articulation still remained impeded to the extent which I observed. The attacks described had occurred on an average once in ten days. He had been under medical treatment, in the course of which he had taken bromide of potassium, but without effect in preventing the attacks, one of which had taken place ten days previously. Urine acid, 1028, free from albumen or sugar. With the exception of dyspeptic ailments, his general health had been good; but I elicited that five years before he had suffered for no less than thirteen months from an ulcerated throat, of which the tonsils still showed slight cicatricial traces. He had never, to his knowledge, suffered from chancre, but was affected with gqnorrbooa when his throat became ulcerated. He was ordered ten grains of iodide of potassium with twenty of bromide of ammonium three times daily. After five days he spoke more clearly, and had experienced no return of the loss of speech, nor of the queer feeling in his arm. His intelligence was brighter, and he told me, with some amusement, that for weeks past he had been dull and stupid to a degree. As an example of this he mentioned that he had constantly caught himself making puns, an occupation which was not at all his natural habit, and which vexed him much. Ordered fifteen grains of iodide with twenty of bromide three times a day. In three days more I found his complexion very much improved. His speech was still embarrassed, but he had had no return of the " sensations." He had now been free from them for three weeks, having never previously gone more than ten days without an attack. Ordered twenty-grain doses of iodide. This he fancied did not agree with him, so, after taking it for fOUl days, I reduced the dose to five grains, and combined with it one-sixteenth of a grain of bichloride of mercury. It is unnecessary to give his further progress in detail Mercurial treatment was continued, broken on one occasior by the occurrence of diarrhoea, and he gradually improvec vastly in health. On one or two occasions, either after over. work or exposure to a hot sun, he got a slight thrill in thE first two fingers of his right hand, but he had no return 01 the loss of speech, and his articulation at all times becam quite distinct. Ten weeks from the time of his first visi he felt as well as he had ever been, and was quite able t( attend to his business. (To be continued.) ,
doi:10.1016/s0140-6736(01)44166-3 fatcat:kq7y3xgcqzd5fkmxcwb7tsul4m