Francesco La Cava (
Careri, 26 May 1876 –
Rome
Rome (Italian language, Italian and , ) is the capital city and most populated (municipality) of Italy. It is also the administrative centre of the Lazio Regions of Italy, region and of the Metropolitan City of Rome. A special named with 2, ...
, 25 May 1958) was an Italian physician and writer.
Biography

He was the son of Giuseppe la Cava and Giuseppina Colacresi, born into a family of modest landowners in
Careri in the
Reggio Calabria
Reggio di Calabria (; ), commonly and officially referred to as Reggio Calabria, or simply Reggio by its inhabitants, is the List of cities in Italy, largest city in Calabria as well as the seat of the Metropolitan City of Reggio Calabria. As ...
province and the eldest of six children. His paternal uncle, archpriest
Rocco La Cava, raised him and led him to his first studies began in the Episcopal Seminary of
Gerace
Gerace (; , also known as ) is a town and ''comune'' in the Metropolitan City of Reggio Calabria, Calabria, southern Italy.
Gerace is located some inland from Locri, yet the latter town and the sea can be seen from Gerace's perch atop a vertica ...
; then, he headed to the Maurolico high school in
Messina
Messina ( , ; ; ; ) is a harbour city and the capital city, capital of the Italian Metropolitan City of Messina. It is the third largest city on the island of Sicily, and the 13th largest city in Italy, with a population of 216,918 inhabitants ...
where he reached his classical school diploma in 1895. He then resumed his university studies at the
Naples Faculty of Medicine, graduating in 1902. From the fourth year of medical school with his close friend, Dr
Francesco Perri
Francesco, the Italian (and original) version of the personal name "Francis", is one of the most common given name among males in Italy. Notable persons with that name include:
People with the given name Francesco
* Francesco I (disambiguation) ...
, he assisted sick people in his neighborhood. Despite the medical studies, his interest in art and literature never waned.
Graduation and military service
In 1902, La Cava graduated with honors and was offered a free job working with Professor
Antonio Cardarelli
Antonio Cardarelli (29 March 1831, Civitanova del Sannio – 8 January 1927) was an Italian physician remembered for describing Cardarelli's sign.
Biography
Antonio Cardarelli trained at the ''Collegio Medico di San Aniello'' of the Universi ...
, who had observed his medical abilities; financial constraints prevented him from accepting it.
So, he began his military career as a medical officer in the
Bersaglieri Corps
The Bersaglieri, singular Bersagliere, (, "sharpshooter") are a troop of marksmen in the Italian Army's infantry corps. They were originally created by General Alessandro Ferrero La Marmora on 18 June 1836 to serve in the Royal Sardinian Army ...
in
Florence
Florence ( ; ) is the capital city of the Italy, Italian region of Tuscany. It is also the most populated city in Tuscany, with 362,353 inhabitants, and 989,460 in Metropolitan City of Florence, its metropolitan province as of 2025.
Florence ...
and when he returned to
Calabria
Calabria is a Regions of Italy, region in Southern Italy. It is a peninsula bordered by the region Basilicata to the north, the Ionian Sea to the east, the Strait of Messina to the southwest, which separates it from Sicily, and the Tyrrhenian S ...
in 1904, he took over the tiny rural management of
Bovalino
Bovalino is a ''comune'' (municipality) in the Province of Reggio Calabria in the Italian region Calabria, located about southwest of Catanzaro and about east of Reggio Calabria. As of 31 December 2004, it had a population of 8,406 and an area o ...
where he met
Concettina Morisciano, a noble, intelligent young Bovalinese woman with whom he had ten children. They married on 30 June 1907; their house became a gathering place for guests who enjoyed discussing about science and medicine as well as art and literature.
Studies about tropical diseases
The
Bovalino
Bovalino is a ''comune'' (municipality) in the Province of Reggio Calabria in the Italian region Calabria, located about southwest of Catanzaro and about east of Reggio Calabria. As of 31 December 2004, it had a population of 8,406 and an area o ...
Clinic's management did not force him to forsake his scientific research; on the contrary, his continued efforts were rewarded with the discovery of cases of tropical diseases never seen in
Europe
Europe is a continent located entirely in the Northern Hemisphere and mostly in the Eastern Hemisphere. It is bordered by the Arctic Ocean to the north, the Atlantic Ocean to the west, the Mediterranean Sea to the south, and Asia to the east ...
before. He treated these ailments and also studied them theoretically, publishing his findings in journals and speaking at conferences.
The first case was published in Gazzetta Medica No. 21, "''A Case of
Dengue Feve''
r", followed by many publications co-authored with
Professor Gabbi, professor of exotic diseases at the
University of Rome.
In 1911, La Cava released a paper titled "''On the Presence of Leishmanie in the
Cerebrospinal Fluid
Cerebrospinal fluid (CSF) is a clear, colorless Extracellular fluid#Transcellular fluid, transcellular body fluid found within the meninges, meningeal tissue that surrounds the vertebrate brain and spinal cord, and in the ventricular system, ven ...
of a Child with
Kala-azar
Visceral leishmaniasis (VL), also known as kala-azar (Hindi: kālā āzār, "black sickness") or "black fever", is the most severe form of leishmaniasis and, without proper diagnosis and treatment, is associated with high fatality. Leishmaniasi ...
''",
that highlighted key factors to determine the disease's diagnosis: they observed that the "''eastern button''" was frequent and recognized the focus of the inquiry; a female dog in which they discovered
Leishmania
''Leishmania'' () is a genus of parasitic protozoans, single-celled eukaryotic organisms of the trypanosomatid group that are responsible for the disease leishmaniasis. The parasites are transmitted by sandflies of the genus '' Phlebotomus'' ...
parasites. Furthermore, La Cava learnt that
Dr. Rogers, an English tropical disease expert, had found emetine hydrochloride as a therapy for
amebiasis
Amoebiasis, or amoebic dysentery, is an infection of the intestines caused by a parasitic amoeba ''Entamoeba histolytica''. Amoebiasis can be present with no, mild, or severe symptoms. Symptoms may include lethargy, loss of weight, colonic ulc ...
; he was able to treat the cases of
dysentery
Dysentery ( , ), historically known as the bloody flux, is a type of gastroenteritis that results in bloody diarrhea. Other symptoms may include fever, abdominal pain, and a feeling of incomplete defecation. Complications may include dehyd ...
he had diagnosed in Bovalino.
The consequences of the Great War
The tremendous international events of 1914 generated issues in the La Cava household: La Cava served at Gerace before being called to the front as "director of various field hospitals" in May 1915. He was relocated to Rome as a director of the
Aurelio Saffi Hospital at the end of 1917 and in the 1920s, after completing his service at the military hospital, worked at the War Pensions Commission.

Concettina, La Cava's wife, was devastated by his departure, as she was left alone in Bovalino with their two children. As a short diary entitled "''Diario della vita che passai quando il mio caro Ciccio si trovava in guerra di liberazione dei nostri fratelli''" reveals, Concetta proved to be not only a woman, but also an outstanding wife during these difficult years.
Moving to Rome
Around the end of 1917, La Cava, who had been promoted to army major, was posted to the Aurelio Saffi Reserve Hospital in Rome. After coming in the city, his first thought was to bring his family with him, thus they all moved to Via Po at Coppedè neighborhood.
He also began to acquire a large clientele and, during the
Spanish flu
The 1918–1920 flu pandemic, also known as the Great Influenza epidemic or by the common misnomer Spanish flu, was an exceptionally deadly global influenza pandemic caused by the H1N1 subtype of the influenza A virus. The earliest docum ...
, worked often for free, to care for the sick. The essence of La Cava's existence and work, centered on his love for people and his profession, was exposed by his attitude toward individuals who could not afford treatment.
Unexpected death
On the last Sunday of May 1958, at the age of eighty-two, he died suddenly. He had gone to vote in his neighborhood in Rome, accompanied by his son Virgilio, when he collapsed from a heart attack under the watchful eyes of his son and the rescuers. Many newspapers covered his demise, paying tribute to his being and works. His body lays in Careri's cemetery.
Literary works
Artistic writings
The deep humanistic culture, the knowledge of
Latin
Latin ( or ) is a classical language belonging to the Italic languages, Italic branch of the Indo-European languages. Latin was originally spoken by the Latins (Italic tribe), Latins in Latium (now known as Lazio), the lower Tiber area aroun ...
and
Greek
Greek may refer to:
Anything of, from, or related to Greece, a country in Southern Europe:
*Greeks, an ethnic group
*Greek language, a branch of the Indo-European language family
**Proto-Greek language, the assumed last common ancestor of all kno ...
, combined with the love of art, led La Cava to visit museums and galleries to analyze in depth many problems with the meticulousness and patience typical of a doctor. He also analyzed
Michelangelo
Michelangelo di Lodovico Buonarroti Simoni (6March 147518February 1564), known mononymously as Michelangelo, was an Italian sculptor, painter, architect, and poet of the High Renaissance. Born in the Republic of Florence, his work was inspir ...
's life and works, and published conclusions in 1925 in "''
The Face of Michelangelo Discovered at the Final Judgment''." During the 1930s La Cava expanded his Christian faith by focusing on theological and philological topics, such as "''The Passion and Death of Jesus Christ as depicted by medical science''" and "''Communion Eucharistic through the stomach fistula''".
He was extremely passionate about medical history, he wrote a text on Lombardy's health history, "''Hygiene and Health in the Statutes of Milan in the XV century''", and an article on the epidemic of 1575–1578, "''The Plague of St. Charles seen by a doctor''".
Michelangelo's face in the Last Judgment
His extremely strong passion for art allowed him to see a particular anatomical detail while staring at the
Last Judgment
The Last Judgment is a concept found across the Abrahamic religions and the '' Frashokereti'' of Zoroastrianism.
Christianity considers the Second Coming of Jesus Christ to entail the final judgment by God of all people who have ever lived, res ...
in the
Sistine Chapel
The Sistine Chapel ( ; ; ) is a chapel in the Apostolic Palace, the pope's official residence in Vatican City. Originally known as the ''Cappella Magna'' ('Great Chapel'), it takes its name from Pope Sixtus IV, who had it built between 1473 and ...
: La Cava saw the face of Michelangelo. The physician was completely absorbed by the studies on the great artist, he analyzed with meticulousness and painstaking patience all the studies about Michelangelo, defined the psychological profile and rummaged in the verses of the genius’ sonnets to find an explanation for the self-portrait.
[Licata, M., 2022. ''A Doctor Discovers Michelangelo’s Self-Portrait in San Bartholomew’s Flayed Skin in the Sistine Chapel''.]
The doctor realized what no one had ever noticed before; Michelangelo’s face was inscribed in the skin of
Saint Bartholomew
Bartholomew was one of the twelve apostles of Jesus according to the New Testament. Most scholars today identify Bartholomew as Nathanael, who appears in the Gospel of John (1:45–51; cf. 21:2).
New Testament references
The name ''Bartholomew ...
, holding a knife in his right hand, on display to the Redeemer, and in his other hand, he holds his flayed skin, the evidence of his
martyrdom
A martyr (, ''mártys'', 'witness' stem , ''martyr-'') is someone who suffers persecution and death for advocating, renouncing, or refusing to renounce or advocate, a religious belief or other cause as demanded by an external party. In colloqui ...
. Michelangelo’s anatomical and physiological knowledge can be seen in the precise representation of body details, in the tension of the limbs of the saint and in the sharpness of skin, folded and held tight to reinforce the seal, like the methods used by
anatomist
Anatomy () is the branch of morphology concerned with the study of the internal structure of organisms and their parts. Anatomy is a branch of natural science that deals with the structural organization of living things. It is an old scien ...
s for
autopsies
An autopsy (also referred to as post-mortem examination, obduction, necropsy, or autopsia cadaverum) is a surgical procedure that consists of a thorough examination of a corpse by dissection to determine the cause, mode, and manner of death; ...
.
At this purpose, on the 450th anniversary of Michelangelo's birth in March 1925, he wrote "''The Face of Michelangelo Discovered in the Last Judgment''" published by
Zanichelli
Zanichelli editore S.p.A. is an Italian publishing company founded in Modena, Italy, in 1859.
It publishes mainly textbooks for school, university and professional books (legal texts and medicine), dictionaries, and reference books.
History
The ...
of
Bologna
Bologna ( , , ; ; ) is the capital and largest city of the Emilia-Romagna region in northern Italy. It is the List of cities in Italy, seventh most populous city in Italy, with about 400,000 inhabitants and 150 different nationalities. Its M ...
. The work consists of six chapters and in the epilogue he acknowledges the boldness of his thesis and fears that it may provoke a critical reaction; everything characterized by a great prose and a precise and fluid style. The study received a wide approval because of the book's double value: revealing Francesco La Cava as a writer as well as an “
archaeologist
Archaeology or archeology is the study of human activity through the recovery and analysis of material culture. The archaeological record consists of Artifact (archaeology), artifacts, architecture, biofact (archaeology), biofacts or ecofacts, ...
” of art.
Religious writings
Around 1930 he experienced a rapprochement to religion, from which he had distanced because of the liberal ideas he had embraced since his college days; this renewed faith led him to scientific-religious studies on the mechanism of death by
crucifixion
Crucifixion is a method of capital punishment in which the condemned is tied or nailed to a large wooden cross, beam or stake and left to hang until eventual death. It was used as a punishment by the Achaemenid Empire, Persians, Ancient Carthag ...
.
Thus, in 1930, the text
''''Did
Jesus Christ
Jesus (AD 30 or 33), also referred to as Jesus Christ, Jesus of Nazareth, and many Names and titles of Jesus in the New Testament, other names and titles, was a 1st-century Jewish preacher and religious leader. He is the Jesus in Chris ...
suffer from
pleurisy
Pleurisy, also known as pleuritis, is inflammation of the membranes that surround the lungs and line the chest cavity (Pulmonary pleurae, pleurae). This can result in a sharp chest pain while breathing. Occasionally the pain may be a constant d ...
? Mechanism of death by crucifixion
''''
analyzes the blow of the spear of
Longinus
Longinus (Greek: Λογγίνος) is the name of the Roman soldier who pierced the side of Jesus with a lance, who in apostolic and some modern Christian traditions is described as a convert to Christianity. His name first appeared in the apoc ...
on the side of the dead Jesus, which caused the outflow of blood and water. According to La Cava, the
azygos vein
The azygos vein (from Ancient Greek ἄζυγος (ázugos), meaning 'unwedded' or 'unpaired') is a vein running up the right side of the thoracic vertebral column draining itself towards the superior vena cava. It connects the systems of superio ...
filled with blood due to the prolonged inhalation, the pressure of which caused the exudation of serum and hydrothorax due to congestion in the
pleural cavity
The pleural cavity, or pleural space (or sometimes intrapleural space), is the potential space between the pleurae of the pleural sac that surrounds each lung. A small amount of serous pleural fluid is maintained in the pleural cavity to enabl ...
. In 1944 he published in Latin a scientific-religious work entitled "''On
Eucharist
The Eucharist ( ; from , ), also called Holy Communion, the Blessed Sacrament or the Lord's Supper, is a Christianity, Christian Rite (Christianity), rite, considered a sacrament in most churches and an Ordinance (Christianity), ordinance in ...
ic Communion through Gastric Fistula. Physiological-Exegetical Reflections of a Catholic Physician".''
This work deals with the possibility of introducing the consecrated host directly into the stomach, this problem was already a subject of reflection among moral theologians, divided into those who considered the direct introduction of the host into the stomach sufficient to produce the sacramental effects of the Eucharist and those who considered the reception by mouth, "manducation" essential for the efficacy of the sacrament.
The spirit and intentions with which the doctor wrote these works can be felt in the introduction of the 1953 publication, which recalls the bad reputation gained by those doctors among the faithful who dealt with the naturalistic point of view of the mysteries of faith.
Philological writings
In his house, always full of friends, circulated the figure of the
Jesuit
The Society of Jesus (; abbreviation: S.J. or SJ), also known as the Jesuit Order or the Jesuits ( ; ), is a religious order (Catholic), religious order of clerics regular of pontifical right for men in the Catholic Church headquartered in Rom ...
priest
Gaetani, who edited the preface of the 1953 work and with whom Francesco liked to discuss philological issues.
In 1934 he published: "''Ut videntes non Videant''" a work in which he deals with the problem of the function of
parable
A parable is a succinct, didactic story, in prose or verse, that illustrates one or more instructive lessons or principles. It differs from a fable in that fables employ animals, plants, inanimate objects, or forces of nature as characters, whe ...
s, beginning with a philological analysis of the
Gospel
Gospel originally meant the Christianity, Christian message ("the gospel"), but in the second century Anno domino, AD the term (, from which the English word originated as a calque) came to be used also for the books in which the message w ...
text .La Cava prosecute his studies with the meticulous sense of research that distinguished him, and in 1935, in another work entitled "''Ne quando convertantur''", he continued the analysis of the passage of the
Evangelist Mark .
References
Bibliography
* Francesco La Cava, A Doctor Discovers Michelangelo’s Self-Portrait in San Bartholomew’s Flayed Skin in the Sistine Chapel, National Centre for Biotechnology Information, 2018.
* Francesco La Cava, Igiene e sanità negli Statuti di Milano del sec. XIV: codice inedito, Hoepli, 1946.
* Francesco La Cava, Il volto di Michelangelo scoperto nel Giudizio Finale: un dramma psicologico in un ritratto simbolico, Zanichelli, 1925.
* Francesco La Cava, La dimensione/uomo di uno scienziato umanista calabrese del primo Novecento, Piero Leone, 2020
* Francesco La. Cava, La forza della semplicità. Francesco La Cava tra scienza e fede, Giuseppe Italiano, Mondadori, 2001, p. 17, rr. 3–5
* Francesco La Cava, La passione e la morte di N. S. Gesù Cristo illustrate, Vincenzo Mario Palmieri e Francesco M. Gaetani, D'Auria, 1953.
* Francesco La Cava, Un medico alla ricerca della verità: dal bottone d'Oriente al volto di Michelangelo e alle parabole del Vangelo, Minerva medica, 1977.
External links
A Doctor Discovers Michelangelo’s Self-Portrait in San Bartholomew’s Flayed Skin in the Sistine Chapel* http://www.sbti.it/bovalino-LaCava-Francesco.htm
{{DEFAULTSORT:La Cava, Fracesco
1876 births
1958 deaths
20th-century Italian physicians
20th-century Italian non-fiction writers