THOMAS'S CESOPHOGOSTOME. 53
Dr. Thomas said the case in question was only in
the Hospital three days, and the patient was delirious
the whole time. From the class of patient brought to
the public wards they were seldom able to obtain any
clinical data. The patients were generally brought in
practically moribund and occupied the beds in the hospital
only for a very few days, and thus did not give much oppor-
tunity for the collection of data to work on. In this case
there was certainly severe dysentery, as he had been told
when passing through the ward by the doctor attending
the case, and as the patient was beyond recovery he was
left alone. In many of the cases which he had seen in
sheep and goats there was certainly no diarrhoea.
As regards Brumpt's case in man there were no data at all, but he (Dr. Thomas) believed this case was supposed to have had slight dysentery. The physicians in the Amazon region probably seldohi made postmortem exam- inations, and they had not in consequence been able to tell him if this was the first case which has occurred. He did not think the condition was very common, or he would certainly have observed it amongst the numerous postmortems which had come under his notice during the period he was engaged in making his observations.
Dr. R. T. Leiper said he would like to congratulate Dr. Thomas very warmly on the case demonstrated. It seemed to him an exceedingly interesting contribution to tropical helminthology. The only case of CEsophagos- tomiasis previously recorded in man was of little patho- logical interest. No details of the lesions had been given and only six specimens, all immature, had been found. Dr. Thomas' patient on the other hand had apparently died of the intense infection.
