A Manual of Clinical DiagnosisTodd, James Campbell
Science
A Manual of Clinical Diagnosis
Todd, James Campbell
Diagnosis, Laboratory
[Illustration: FIG. 94.--Balantidium (Paramoecium) coli (Eichhorst).]
4. Hemosporidia.--This is a large group of parasites with two
life-cycles: one in the blood-corpuscles or plasma of a vertebrate
host--man, mammals, birds, reptiles; the other in the body of some
insect. The malarial parasite, already described; the organism
(_Pirosoma bigeminum_) producing Texas fever in cattle; and the
questionable parasite (_Piroplasma hominis_), which has been described
as the cause of "tick fever" of Montana, belong to the group.
5. Trypanosomes have been mentioned (p. 195).
II. VERMES
1. Cestoda.--Tape-worms are very common parasites of both man and the
animals. The most important are _Tænia saginata_, _Tænia solium_,
_Bothriocephalus latus_, and _Tænia echinococcus_. They all pass a
larval stage in the body of an intermediate host. In the adult stage
they consist of a linear series of flat, rectangular segments
(proglottides), at one end of which is a smaller segment, the scolex
or head, especially adapted for attachment to the host. The series
represents a colony, of which the {248} scolex is ancestor. The
proglottides are sexually complete individuals, derived from the
scolex by budding. With exception of the immature segments near the
scolex, each contains a uterus filled with ova. The three tape-worms
first mentioned are distinguished from one another mainly by the
structure of the scolex and of the uterus (Fig. 100). The scolex
should be studied with a low-power objective. The uterus is best seen
by pressing the segment out between two plates of glass.
[Illustration: FIG. 95.--Tænia saginata (Eichhorst).]
(1) Tænia Saginata or Mediocanellata (Fig. 95).--This, the beef
tape-worm, is the common tape-worm of the United States. Its length
sometimes exceeds twenty-five feet. The middle segments measure about
one-fourth by one-half inch. The scolex is about the size of a
pin-head, and is surrounded by four sucking discs, but has no hooklets
(Fig. 96). The uterus extends along the middle line of the segment and
gives off about twenty branches upon each side (Fig. 100). The larval
stage is passed in the muscles of various animals, especially cattle,
where it lies encysted (cysticercus stage).
The larva is ingested with the meat, its capsule is {249} dissolved by
the digestive juices, and it attaches itself to the intestinal wall by
means of its suckers. It then develops into the mature worm.
The ova are present in the stools of infected persons, often in great
numbers. They are spheric or ovoid, yellow in color, and have a thick,
radially striated shell (Fig. 101). Their greatest diameter is 30 to
40 µ (about four or five times the diameter of a red blood-corpuscle).
Vegetable cells, which are generally present in the feces, are often
mistaken for them.
[Illustration: FIG. 96.--Head of Tænia saginata (Mosler and Peiper).]
[Illustration: FIG. 97.--Head of Tænia solium (Mosler and Peiper).]
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