Handbook of Medical EntomologyRiley, William A. (William Albert)
Science
Handbook of Medical Entomology
Riley, William A. (William Albert)
Insect pests; Insects as carriers of disease; Medical parasitology
Soon after the discovery of the parasites in the blood, Gerhardt (1884)
succeeded in transferring the disease to healthy individuals by
inoculation of malarious blood, and thus proved that it is a true
infection. This was verified by numerous experimenters and it was found
that inoculation with a very minute quantity of the diseased blood would
not only produce malaria but the particular type of disease.
Laveran traced out the life cycle of the malarial parasite as it occurs
in man. The details as we now know them and as they are illustrated by
the accompanying figure 125, are as follows:
The infecting organism or _sporozoite_, is introduced into the
circulation, penetrates a red blood corpuscle, and forms the amœboid
_schizont_. This lives at the expense of the corpuscle and as it
develops there are deposited in its body scattered black or reddish
black particles. These are generally called melanin granules, but are
much better referred to as hæmozoin, as they are not related to
melanin. The hæmozoin is the most conspicuous part of the parasite, a
feature of advantage in diagnosing from unstained preparations.
[Illustration: 125. Life cycle of the malaria parasite. Adapted from
Leuckart's chart, by Miss Anna Stryke.]
As the schizont matures, its nucleus breaks up into a number of daughter
nuclei, each with a rounded mass of protoplasm about it, and finally the
corpuscles are broken down and these rounded bodies are liberated in the
plasma as _merozoites_. These merozoites infect new corpuscles and thus
the asexual cycle is continued. The malarial paroxysm is coincident with
sporulation.
As early as Laveran's time it was known that under conditions not yet
determined there are to be found in the blood of malarious patients
another phase of the parasite, differing in form according to the type
of the disease. In the pernicious type these appear as large,
crescent-shaped organisms which have commonly been called "crescents."
We now know that these are sexual forms.
When the parasite became known there immediately arose speculations as
to the way in which it was transferred from man to man. It was thought
by some that in nature it occurred as a free-living amœba, and that
it gained access to man through being taken up with impure water.
However, numerous attempts to infect healthy persons by having them
drink or inhale marsh water, or by injecting it into their circulation
resulted in failure, and influenced by Leuckart's and Melnikoff's work
on _Dipylidium_, that of Fedtschenko on _Dracunculus_, and more
especially by that of Manson on _Filaria_, search was made for some
insect which might transfer the parasite.
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