The Animal Parasites of ManFantham, Harold Benjamin
Science
The Animal Parasites of Man
Fantham, Harold Benjamin
Medical parasitology
Syn.: _Hæmamœba vivax_, Grassi and Feletti, 1890; _Plasmodium
malariæ_ var. _tertianæ_, Celli and Sanfelice, 1891; _Hæmamœba
laverani_ var. _tertiana_, Labbé, 1894; *Hæmosporidium tertianum*,
Lewkowitz, 1897; _Plasmodium malariæ tertianum_, Labbé, 1899:
_Hæmamœba malariæ_ var. _magna_, Laveran, 1900, p.p.; _Hæmamœba
malariæ_ var. _tertianæ_, Laveran, 1901.
This species, _P. vivax_,[201] is the causal agent of the simple or
spring tertian fever and is, therefore, named directly the tertian or
benign tertian parasite (figs. 80, _3_-_8_; 85). During the afebrile
period in the patient, the young trophozoites or amœbulæ appear on or
in the red blood corpuscles as pale bodies of 1·5 µ to 2 µ diameter
which at first show only slow amœboid movements. Their nucleus is
difficult to recognize in the early stage. Soon the food vacuole is
formed and this grows concomitantly with the trophozoite and the
parasite has a ring-like appearance. Afterwards the vacuole diminishes,
and at this period the first brownish melanin granule appears. From
this time the activity and number of the pigment granules increase
with continuous growth. When the parasite has grown to about one-third
the diameter of the erythrocyte the latter shows characteristic red
Schüffner’s dots or “fine stippling,” after staining with Romanowsky’s
solution. Later, after about twenty-four hours, the blood corpuscles
begin to grow pale, then to increase in size, and after thirty-six
hours, that is, about twelve hours before the next attack of fever,
schizogony of the parasite is initiated by the division of the nucleus.
The parasite at this time occupies half to two-thirds of the enlarged
blood corpuscle. The daughter nuclei continue dividing until sixteen,
and occasionally twenty-four, daughter nuclei are produced. The pigment
which, up till now lies nearer the periphery, moves to the middle,
while the nuclei lie nearer the surface.
[201] See Schaudinn, F. (1902), _Arb. a. d. kaiserl. Gesundheits._,
xix, pp. 169–250, 3 plates.
[Illustration: FIG. 85.--Development of the tertian parasite in the red
blood corpuscles of man; on the right a “Polymitus.” (After Mannaberg.)
See also fig. 80, _3_--_7_.]
Around each nucleus a portion of cytoplasm collects and thus young
merozoites are produced. These separate from each other and from the
little residual masses[202] which contain the melanin and pass from
the blood corpuscles, which now can hardly be recognized, to the blood
plasma, where they soon attack new erythrocytes.
[202] The pigment masses (melanin or hæmozoin) are taken up by the
leucocytes, particularly the mononuclear ones, and are carried
especially to the spleen, and also to the liver and the bone-marrow.
From this circumstance arises the well-known pigmentation of the spleen
in persons who have suffered from malaria.
Public-domain text, read in full here on John Shaqi.
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