Pare speaks of a case of this kind during a long
illness; and there is mention of a man who voided a worm half a
yard long from his bladder after suppression of urine. The
Ephemerides contains a curious case in which a stone was formed
in the bladder, having for its nucleus a worm. Fontanelle
presented to the Royal Academy of Medicine of Paris several yards
of tapeworm passed from the urethra of a man of fifty-three. The
following is a quotation from the British Medical Journal: " I
have at present a patient passing in his urine a worm-like body,
not unlike a tapeworm as far as the segments and general
appearance are concerned, the length of each segment being about
1/4 inch, the breadth rather less; sometimes 1 1/2 segments are
joined together. The worm is serrated on the one side, each
segment having 1 1/2 cusps. The urine pale, faintly acid at
first, within the last week became almost neutral. There was
considerable vesical irritation for the first week, with abundant
mucus in the urine, specific gravity was 1010; there were no
albumin nor tube-casts nor uric acid in the urinary sediments.
Later there were pus-cells and abundant pus. Tenderness existed
behind the prostate and along the course of left ureter.
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