Parasites: A Treatise on the Entozoa of Man and Animals: Including Some Account of the EctozoaCobbold, T. Spencer (Thomas Spencer)
Science
Parasites: A Treatise on the Entozoa of Man and Animals: Including Some Account of the Ectozoa
Cobbold, T. Spencer (Thomas Spencer)
Helminths; Parasites
Towards the close of the year 1872 the biological world was startled by
the announcement of the discovery of minute Filariæ in human blood. Dr
T. R. Lewis had found microscopic worms in the blood, and also in the
urine, of persons suffering from chyluria. The worms could be obtained
from day to day by simply pricking any portion of the body with a
finely pointed needle. To this hæmatozoon Lewis gave the trinomial term
_Filaria sanguinis hominis_, which thus fitly distinguished it from the
_Filaria papillosa hæmatica canis domestici_ described by Grube and
Delafond. Dr Lewis found the average size of the parasite to be 1/75″ in
length by 1/3500″ in breadth. He observed that while it exists in the
blood the body is enclosed in a delicate transparent tunic or cyst. The
worm was never absent from urine in chyluria. In a case in which there
was a milky discharge from the eyes the worms were also detected. In one
case Lewis calculated that 140,000 Filariæ were present in the blood--a
number certainly not relatively large seeing that MM. Grube and Delafond
estimated the verminiferous blood of their several dogs to contain
numbers varying from 11,000 to 224,000. Lewis also found Filariæ in the
kidneys and supra-renal capsules of a woman who died of chyluria. It did
not appear probable that the worms underwent further development in the
human body. On this point Lewis remarks:--“Not only may those hæmatozoa
found in man live for a period of more than three years, but there is no
evidence that they have any tendency to develop beyond a certain stage
as long as they remain in the circulation.” Dr Lewis judged that the
form of chyluria associated with this condition of the blood was local
and intimately related with a tropical climate. The milky condition
of the urine comes on suddenly, not only at first, but on succeeding
occasions also. It is frequently accompanied by more or less distinctly
marked symptoms of various other obscure diseases, including temporary
swellings in the face or extremities. From certain appearances of
intestinal ulceration Lewis thought that the parasites might gain access
to the system by the alimentary canal, possibly from the tank-water or
the fish inhabiting it. He considered the state of the urine to be due
to the mechanical interruption offered to the flow of the nutritive
fluids of the body. The accidental aggregation of the Hæmatozoa might
give rise to obstruction of the currents within the various channels, or
occasion rupture of their extremely delicate walls, and thus cause the
contents of the lacteals, lymphatics, or capillaries, to escape into the
most conveniently placed excretory channel.
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