The Animal Parasites of ManFantham, Harold Benjamin
Science
The Animal Parasites of Man
Fantham, Harold Benjamin
Medical parasitology
Fully grown they only attain two-thirds or less of the diameter of
the erythrocytes, which display an inclination to shrink and then
appear darker than the normal (brass-coloured). In the early stage
dots or stippling--sometimes called Maurer’s dots--appear on the blood
corpuscles as in those attacked by the ordinary tertian parasite
(_Plasmodium vivax_), but the Maurer’s dots are relatively coarse and
few, and are not easily stained. These dots were first described by
Stephens and Christophers in 1900, and subsequently by Maurer in 1902.
About thirty hours after the entrance into the blood corpuscles, the
parasites are rarely found in the peripheral blood, but they are
present in the internal organs, and especially in the spleen. The
schizogony, which now begins in the internal organs, proceeds on the
same lines as that of the quartan parasite, that is, usually with the
merozoites radially arranged around a central agglomeration of dark
brown pigment.
[Illustration: FIG. 87.--The pernicious malignant or sub-tertian
parasite in the red corpuscles of man, asexual stages. (After Manson.)]
The number of merozoites formed is quoted differently, _e.g._, 8 to
24, on an average 12 to 16. However, according to the recent cultural
researches of J. G. and D. Thomson[204] (1913) the number of merozoites
of _P. falciparum_ is 32. D. Thomson, from examination of spleen smears
at autopsy, also concludes that the number of merozoites may reach 32.
During their formation the blood corpuscle which is attacked gets paler
and disintegrates.
[204] _Proc. Roy. Soc._, B, lxxxvii, p. 77.
[Illustration: FIG. 88.--The crescents of the malignant tertian
parasite. (After Mannaberg.) See also fig. 81.]
The gametocytes which finally appear are attenuated, curved bodies,
rounded at each end and known as crescents (figs. 81, 88), and are
provided with a nucleus and with coarse pigment masses. In the males
the pigment is more scattered than in the females, where it is around
the nucleus. Their length is 9 µ to 14 µ, and their breadth is 2 µ to
3 µ. At first they are still in the pale blood corpuscles, later they
free themselves and are found in numbers in the peripheral blood in
cases of pernicious malaria of Southern Europe and the tropics, while,
on the other hand, they occur much more rarely in the peripheral blood
in West African malignant tertian. Their further development takes
place under the same conditions as in the other malarial parasites.
[Illustration: FIG. 89.--Section through a tubule of the salivary gland
of an _Anopheles_ with sporozoites of the malignant tertian parasites;
on the left at the top a single sporozoite greatly magnified. (After
Grassi).]
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