On a haematozoon in human blood : its relation to chyluria and other diseases / by T.R. Lewis.
- Timothy Richards Lewis
- Date:
- 1874
Licence: Public Domain Mark
Credit: On a haematozoon in human blood : its relation to chyluria and other diseases / by T.R. Lewis. Source: Wellcome Collection.
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![I am indebted for the greater number of tlie specimens of Chylous urine which I have examined to Dr. Charles, vvlio and Dr. W. J. Palmer were, I believe, the first to verify these observ- ations, both having had cases of the disease about the same time towards the end of 1870 or beginning of 1871. The fact of Dr. Charles being in charge of the midwifery wards of the College Hospital, has apparently conduced to his being able to aid me so materially, as, strange to say, the patients suffering from Chyluria have, for the most part, been women; in the last case brought to my notice by him, this condition was observed, for the first time, four days after podalic version had been performed. I have now observed the urine in this condition, associated with more or less marked haematuria, in more than twenty- patients, several samples having been obtained from nearly all of them; these niicroscoi)ic Filariae have been present—in either the urine or the blood, or in both—on every occasion Of the persons thus affected, five were ascertained to be of ])ure European parentage, but three of them were born in this country; the remainder were either East Indians or natives, in about equal proportion. I regret that I lost opportunity of fully ascertaining the pre- vious history of the case in which the Ilfematozoa were first detected. Having satisfied myself of the identity of the worms previously observed in the urine and now in the blood, by care- ful comparison of their form, structure, aud measurements, I relation which may exist between them and the Filaria here referred to ; but, judging from the abridged descriptions and measurements which have lately come under my notice, they would appear to present a marked resemblance, and I think that, notwithstanding the absence of any allusion to the sheath so characteristic, and, during life especially, so conspicuous a feature in the latter, with some other discrepancies, it will probably be found that they belong at least to a closely allied species, and possibly may hereafter also be traced to the blood. h](https://iiif.wellcomecollection.org/image/b28709470_0015.jp2/full/800%2C/0/default.jpg)
