November 23, 1907


Author Affiliations


JAMA. 1907;XLIX(21):1775. doi:10.1001/jama.1907.25320210047003e

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History.  —In June, 1907, I was called to see an infant, aged 4 weeks. The mother informed me that "worms" were coming through the skin of the child. The baby showed several lesions around the neck, face, forearms and hands. Some of the lesions were only slightly raised, with a red areola around a whitish center of seropurulent material about the size of a pinhead, from which the "worm" escaped when the lesion was pressed between the fingers, as one would extract a comedo. After the extraction of the larva, the small lesions healed very rapidly, almost disappearing in 24 hours. The larger lesions represented a more severe type of inflammation and contained larger larvæ. One lesion on the dorsum of the hand between the bases of the thumb and index finger contained two large larvæ. This lesion was as large as a plum, swollen, raised, hard and had the

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