The diagnostics and treatment of tropical diseases — John Shaqi
The diagnostics and treatment of tropical diseasesStitt, E. R. (Edward Rhodes)
Science
The diagnostics and treatment of tropical diseases
Stitt, E. R. (Edward Rhodes)
Tropical medicine
This type of Haemosporidia is characterized by invasion of red
cells, amoeboid movement, pigment production and the extrusion of
flagellum-like processes from the male sporont after the blood is
taken from the animal and allowed to cool.
Other Haemosporidia which are very important in diseases of
domesticated animals, but not for man, are those of the piroplasm
type.
These parasites of the red cells do not produce pigment and do
not “exflagellate.” It is to parasites of this type that some
authorities have ascribed the cause of blackwater fever, a
condition undoubtedly connected with malaria.
It has been thought proper by some to consider the malarial parasites
as belonging to two genera, the genus _Plasmodium_, characterized
by round sexual forms and including _P. vivax_ and _P. malariae_ and
the genus _Laverania_, characterized by crescent-shaped sexual forms
and including but one species _L. malariae_, that of aestivo-autumnal
malaria.
Craig recognizes a quotidian form and a tertian form for the
aestivo-autumnal parasite. Manson formerly held the view that three
different species of crescent-bearing parasites were concerned
in malignant infections; one, of tertian periodicity, _Laverania
malariae_, and two, of quotidian periodicity, _L. praecox_, a
pigmented form, and _L. immaculata_, a form in which pigment is
only observed in the crescent formation and does not exist in the
ring form schizonts. He has abandoned this view. Stephens has noted
a parasite which has more nuclear material than _P. falciparum_
(_P. tenue_).
_Malaria of Animals_.—Other Haemosporidia of the haemamoeba type
are found in birds, monkeys, bats, squirrels and possibly in
reptiles (the parasites of reptiles, while intracorpuscular and
pigment producing, do not exflagellate). Of particular interest is
the so-called bird malaria or _Proteosoma_, a parasite very similar
to the human malarial ones.
The life cycle of this parasite was demonstrated before that of the
malarial parasites of man.
Although Koch in his work showed that these malaria-like parasites
of other animals were not infectious for man, Fermi has recently
carried out well-controlled experiments, by feeding laboratory
bred anophelines on the blood of various animals showing such
infections, and subsequently on men, with invariably negative
results.
Accumulated experience shows that man is not susceptible to any of
the animal malarias and that the three human species can only exist
in man as an intermediate host and in certain species of anopheline
mosquitoes as definitive hosts. Culicine mosquitoes never transmit
malaria.
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