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July 6, 1935


JAMA. 1935;105(1):23-24. doi:10.1001/jama.1935.92760270001008

Gongylonema has been found in man in such rare instances that we believe that the circumstances of the isolation and identification, as well as a description, of one found by us may be of interest.

The infestation is common in ruminants, swine and other animals,1 in which it is found in the upper portion of the digestive tract, and usually in the esophagus. Only seven cases have been found in man, the most recent by Stiles2 in 1928. Pane has found one, Alessandrini one,3 Ward one,4 Stiles three, and Ransom one. In all human cases the worm has been found in the oral cavity, where it burrows beneath the mucosa. The patient is conscious of its migrations and it can be seen with the naked eye.

L. H., a white man, aged 30, brought a worm to our laboratory, stating that he had withdrawn

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