The Animal Parasites of ManFantham, Harold Benjamin
Science
The Animal Parasites of Man
Fantham, Harold Benjamin
Medical parasitology
increasing a lesion of the large intestine already present, or at
least of preventing its healing.
B. Grassi (1879) found in the stools of healthy as well as in those
of diarrhœic patients from various localities in Northern Italy,
amœbæ similar to those discovered by Lösch. As this was of frequent
occurrence, the pathogenicity could not be definitely established.
Normand, formerly naval surgeon at Hong-Kong, observed numerous amœbæ
in the dejecta of two patients suffering from colitis.
Many further investigations, which cannot be quoted in detail, showed
not only that intestinal amœbæ were widely distributed in man, but
indicated with greater certainty their rôle as agents of dysentery.
The Commission sent out by the German Government in the year 1883
to investigate cholera in India and Egypt--whose members discovered
the cholera bacillus--also collected information with regard to
dysentery. In five cases of dysentery examined _post mortem_ at
Alexandria, with the exception of one case in which ulceration of the
colon had already cicatrized or was approaching cicatrization, R.
Koch found amœbæ as well as bacteria in sections from the base of the
ulcers, although such had previously escaped notice in examination of
the dejecta. Encouraged by these results, Kartulis (1885), who had
discovered amœba-like bodies in the stools of patients suffering from
intestinal complaints at Alexandria, continued his investigations.
The results, obtained from more than 500 cases, gave rise to the
theory that typical dysentery was caused by amœbæ as were also the
liver-abscesses that often accompany it. Kartulis supported his
theory not only by the regular occurrence of amœbæ in the stools
of dysenteric patients and their absence in other diseases, and by
the occurrence of the parasites in ulcers of the large intestine
and in the pus from liver-abscesses, but also by experiments which
he performed on cats. These were infected by injection _per anum_
of stool material rich in amœbæ from subjects of dysentery. The
infection took place also when amœba-containing, but bacteria-free,
pus from liver-abscesses was used. It has been objected that the
infection of man with _Amœba coli_, as the dysenteric amœbæ were then
generally designated, does not take place _per anum_ but _per os_.
This difficulty, however, diminished in proportion as the encysted
states of amœbæ (fig. 2), long known in the case of other Protozoa,
became understood. The infection of man (Calandruccio, 1890) and of
cats (Quincke and Roos) succeeded solely when material containing
such stages was used. Amœbæ introduced into the intestine multiply
there by fission (Harris, 1894). However, this theory, to which
various other authors gave support on the grounds of their own
observations, encountered opposition. Thus it was established that
amœbæ were not found in patients in every place where dysentery was
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