The Animal Parasites of ManFantham, Harold Benjamin
Science
The Animal Parasites of Man
Fantham, Harold Benjamin
Medical parasitology
The parasite, commonly known as the Leishman-Donovan body, is
intracellular (fig. 50, 2, 3). It is found in the endothelial cells
of the capillaries of the liver, spleen, bone-marrow, lymphatic
glands and intestinal mucosa, and in the macrophages of the spleen
and bone-marrow. Some host cells may contain many parasites. It is
rather rare in the circulating blood, but may be found in the blood
from the femoral, portal and hepatic veins. It does not occur in
the red blood corpuscles as was formerly thought. The parasites
liberated from the endothelial cells are taken up by the mononuclear
and polymorphonuclear leucocytes. The Leishman-Donovan body is the
resting stage of a flagellate. As found in man it is a small, oval
organism, about 2·5 µ to 3·5 µ in length by 2 µ in breadth, and
containing two chromatinic bodies, corresponding to the nucleus and
kinetic nucleus (blepharoplast) of a flagellate. The latter element
is the smaller and more deeply staining, and is usually placed at the
periphery, transversely to the longer axis of the oval organism.
There is sometimes a very short, slightly curved filament to be seen,
which may be a rhizoplast. Multiplication takes place by binary or
multiple fission. The presence of the parasite used to be demonstrated
by splenic or hepatic puncture; nowadays it can be demonstrated in
peripheral blood, _e.g._, of the finger, or by culture of infected
blood.
[Illustration: FIG. 50.--_Leishmania donovani_. _1_, Free forms,
each with nucleus and rod-shaped blepharoplast (after Christophers);
_2_, endothelial cell and leucocytes containing parasites (after
Christophers); _3_, capillary in the liver showing endothelial cells
containing parasites (after Christophers); _4_, two parasites escaping
from a leucocyte in the alimentary canal of the bug (after Patton);
_5_, further development in bug (after Patton); _6_, young flagellate
forms in bug (after Patton); _7_-_11_, culture forms (after Leishman);
_7_, _8_, _9_, show development of flagellum.]
_L. donovani_ can be cultivated in citrated splenic blood, under
aerobic conditions, at 22° to 25° C. This was first accomplished by
Rogers (1904). It is not so easily culturable as _L. infantum_ on the
Novy-MacNeal-Nicolle medium.[124] _L. donovani_ is inoculable with
some difficulty into experimental animals--in India, white rats, white
mice, dogs and monkeys (_Macacus spp._), have been inoculated. The
Sudan variety, somewhat less virulent, is inoculable to monkeys. Row
also produced a local lesion in _Macacus sinicus_ by subcutaneous
inoculation of _L. donovani_. Parasites taken from such a local lesion
were found to be capable of producing a generalised infection in
_Macacus sinicus_ and white mice.
[124] For the composition of this medium, see Appendix.
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