The Animal Parasites of ManFantham, Harold Benjamin
Science
The Animal Parasites of Man
Fantham, Harold Benjamin
Medical parasitology
The Protozoa and Protophyta are sometimes united under the term
_Protista_ (Haeckel, 1866). The Spirochætes are Protists (see
pp. 114–128).
Class I. *SARCODINA*, Bütschli, 1882.
Order. *Amœbina*, Ehrenberg.
A. *Human Intestinal Amœbæ.*
The first record of the occurrence of amœba-like organisms in the
human intestine, that is, in intestinal evacuations, was that of
Lambl (1859); nevertheless, the case was not quite conclusive,
as the occurrence of testaceous amœbæ of fresh water (_Arcella_,
_Difflugia_) was also reported. In 1870 Lewis found amœbæ associated
with disorders of the large intestine in patients in Calcutta. A year
later Cunningham reported from the same locality that he had observed
on eighteen occasions, in one hundred examinations of dejecta from
cholera patients, colourless bodies with amœboid movements, which
became encysted and multiplied by fission. The daughter forms were
said to be capable of dividing again, but they might also remain
in contact. Contractile vacuoles were not noticed. The same bodies
were observed also in simple diarrhœa (twenty-eight cases out of one
hundred.)
[Illustration: FIG. 1.--_Amœba coli_, Lösch, in the intestinal mucus.
(After Lösch.)]
The case reported by Lösch in 1875 attracted more attention. It was
that of a peasant, aged 24, who came from the province of Archangel.
He was admitted into Eichwald’s clinic at Petrograd with symptoms
of dysentery. In the discharges containing blood and pus, Lösch
found amœbæ in large numbers. When at rest these amœbæ measured from
20 µ to 35 µ; in a state of movement their length might extend up
to 60 µ (fig. 1). The pseudopodia appeared only singly, and, since
they were hyaline (ectoplasmic), were thus distinguished from the
markedly granular endoplasm that enclosed a spherical nucleus of from
5 µ to 7 µ in diameter. One or more non-contractile vacuoles were
present. Quinine enemata had the effect of making the amœbæ disappear
from the fæces and thus causing the diarrhœa to abate. Four months
after admission the patient died from the results of intercurrent
pneumonia. At the autopsy ulceration of the large intestine was
found, especially in the lower parts. Lösch connected the amœbæ with
the ulcerations by experiments made on four dogs by injecting them
with recently passed stools (_per os et anum_). Eight days after the
last injection numerous amœbæ were found in the fæces of one of these
dogs; eighteen days after the injection the animal was killed. The
mucosa of the rectum was inflamed, covered with blood-stained mucus
and ulcerated in three places. Numbers of amœbæ were found both in
the pus of the ulcers and in the mucus. The three other dogs remained
healthy. From these observations Lösch concluded that the species of
amœba described by him as _Amœba coli_ could not be regarded as the
primary cause of the disease, but that it was certainly capable of
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