Sept. 2, 1912, one of us (Muir) was called in to see a boy, J. H., 5 years old, who had been ailing for about ten weeks and who was under medical treatment for indigestion and obstinate constipation for about five weeks of that time. The child was emaciated and anemic. Very striking symptoms were the constant and pronounced twitching of the eyelids and other nervous movements. He gritted his teeth in his sleep at times, and made convulsive movements of the limbs. When awake he complained of pain in the limbs and of headache. The emaciation seemed to be due to the fact that the boy had for some time vomited almost everything he ate. The breath was very bad, "worse than rotten eggs," according to his parents.
On the basis of the nervous and digestive disturbance and the general debility, a diagnosis of worm infestation was made. The