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
=Malarial Toxin.=—At the time that the merocyte ruptures it is
supposed that a toxin is given off which causes the malarial paroxysm.
Rosenau, by injecting, intravenously, filtered blood, taken from
a patient at the time of sporulation of the parasites caused a
malarial paroxysm. No parasites developed later. Another man who
received a small amount of unfiltered blood allowed a slight
paroxysm and four days later showed parasites in his blood. Hence
the parasite will not pass through the pores of a Berkefeld filter.
=Schizogony.=—The nonsexual cycle goes on by geometric progression
from the first introduction of the sporozoite, but it is usually
about two weeks before a sufficient number of merocytes rupture
simultaneously to produce sufficient toxin for symptoms (period of
incubation). This cycle is termed _schizogony_. It is considered
that there must be several hundred parasites per cubic millimeter
sporulating to be capable of producing symptoms.
=Gametes.=—After a varying time, whether by reason of necessity
for renewal of vigor of the parasite by a respite from sporulation,
or whether from a standpoint of survival of the species, sexual
forms (gametes) develop. Some think that sporozoites of sexual and
nonsexual character are injected at the same time. It is usually
considered, however, that sexual forms develop from preexisting
nonsexual parasites. The developing gametes are often termed
sporonts. Strictly, the sexual parasites in the blood should be
called gametocytes. The gametes take about twice as long to reach
maturity as schizonts. The life of a crescent has been estimated
as about ten days and that of the gametes of benign tertian and
quartan about one-half this period.
[Illustration: FIG. 2.—Sexual (sporogony in mosquito) and nonsexual
(schizogony in man) cycle of the malarial parasite. The sporogony
diagram to the left shows in lower portion the fertilization of the
female gamete by the microgamete. The vermiculus stage of the zygote
is shown boring into the walls of the mosquito’s stomach to later
become the more mature zygote packed with sporozoites as shown in
the upper diagram of the developmental processes in the mosquito’s
stomach.]
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