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
inconvenience. In a few hours the transformations will commence and
go on continuously until the vermiform condition is attained. If, as
remarked in my ‘Lectures,’ it be asked whether the embryos which have
escaped into the bowel are capable of arriving at the vermiform stage,
the answer is in the affirmative; for, as Leuckart says, “the elongated
embryos are to be found not only in the fæces but also in the mucus of
the rectum above and around the anus.” Vix has also asserted that free
vermiform embryos are occasionally to be detected in the intestine of
the human bearer along with the eggs; this hatching within the lower
bowel, however, must, in my opinion, be regarded as exceptional. Heller
is of the same opinion. According to Leuckart, the escape of the embryos
from the eggs “ordinarily takes place under the action of the gastric
juice, also primarily in that condition when they have by some means or
other gained access to a new bearer.” Prof. Leuckart and three of his
pupils courageously infected themselves by swallowing the eggs, and had
the satisfaction of observing young Oxyurides in their stools fifteen
days afterwards.
From the united labors of Professors Zenker and Heller it is now
rendered certain that all the further changes necessary to bring the
larvæ to sexual maturity are accomplished within the small intestines of
the human bearer; and it is not necessary that a change of hosts should
occur at any time during the life of the parasite. Infection ordinarily
takes place by the accidental and direct conveyance of the eggs that are
lodged in the neighbourhood of the victim’s anus to the mouth. Since the
victim may accomplish this during sleep, it is not in all cases fair
to charge infected persons with uncleanliness. On the other hand, it
too often happens that due care in this respect has not been exercised,
and from such persons you may remove the eggs of Oxyurides from the
margins of the finger nails. One aristocratic person, who was infested
by myriads of these entozoa, confessed to me that in his extreme
distress, and consequent rage, he had freely bitten the live worms in
halves between his teeth. He had thus exposed himself to a terrible
revenge, since multitudes of the ova entering his mouth subsequently
found their way into the stomach and intestines. By whatever mode the
eggs are conveyed to the mouth their subsequent passage to the stomach
ensures their being hatched. In the duodenum and other divisions of
the small intestines, as Zenker and Heller have shown, the embryos
undergo transformation, casting their skins, and growing with great
rapidity. Probably not more than three weeks or a month is necessary
to complete their growth. Heller obtained mature worms from an infant
only five weeks old. Finally the worms are transferred to the cæcum,
which constitutes, so to speak, their headquarters. It is an error to
suppose that the lower bowel or rectum forms their especial habitat,
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