A Manual of Clinical DiagnosisTodd, James Campbell
Science
A Manual of Clinical Diagnosis
Todd, James Campbell
Diagnosis, Laboratory
(_b_) _Sexual Cycle_.--Besides the ameboid individuals which pass
through the asexual cycle, there are present with them in the blood
many individuals with sexual properties. These are called _gametes_.
They do not undergo segmentation. Many of them are apparently
extracellular, but stained preparations usually show them to be
surrounded by the remains of a corpuscle. In tertian and quartan
malaria they cannot easily be distinguished from the asexual
individuals until a variable time after the blood leaves the body,
when the male gamete sends out {189} one or more flagella. In
estivo-autumnal malaria the gametes take distinctive ovoid and
crescentic forms, and are not difficult to recognize. They are very
resistent to quinin and often persist in the blood long after the
ameboid forms have been destroyed, but are probably incapable of
continuing the disease until they have passed through the cycle in the
mosquito.
When a malarious person is bitten by a mosquito, the gametes are taken
with the blood into its stomach. Here a flagellum from the male unites
with the female, which soon thereafter becomes encysted in the wall of
the intestine. After a time it ruptures, liberating many minute rods,
or sporozoites, which have formed within it. These migrate to the
salivary glands, and are carried into the blood of the person whom the
mosquito bites. Here they enter red corpuscles as young malarial
parasites, and the majority pass through the asexual cycle just
described.
[Illustration: FIG. 79.--Mosquitos--_Culex_ (1) and _anopheles_ (2)
(Bergey).]
[Illustration: FIG. 80.--Showing, on the left, _anopheles_ in resting
position, its dappled wing, and the position of its larvæ in water; on
the right, _culex_ in resting position, its plain wing, and the
position of its larvæ in water. The arrows indicate the directions
taken by the larvæ when the water is disturbed (Abbott).]
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