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
_Iodine Cysts._—These bodies which stain a deep brown colour when
treated with iodine are now recognized as amoebae and have been
named _Iodamoeba bütschlii_. They are most probably nonpathogenic.
It is a small amoeba (9 to 13 microns, rarely up to 20 microns)
and shows the sluggish movements of _E. coli_. The nucleus is very
difficult to discern, thus differing from _E. coli_. In stained
specimens it has a vesicular nucleus about 2 microns in diameter
with a fairly large central karyosome. The cysts are spherical
or oval, often of irregular outline and are about 10 microns in
diameter. The nucleus is large and eccentrically placed and has a
karyosome which tends to show as a peripherally placed mass. There
is almost always present a large glycogen mass in the cyst which
stains intensely with iodine.
_Dientamoeba Fragilis_ (Jepps and Dobell 1918).—A rare binucleate
amoeba averaging 8-9 microns in size. Nuclei show a fairly large,
central granular karyosome and no peripheral chromatin. Strands
of linin may be seen radiating from karyosome to nuclear wall.
This organism is said to be frequently mistaken for Blastocystis
when the vacuoles coalesce leaving a thin ring of cytoplasm. Cysts
unknown. Considered nonpathogenic. Recently Kofoid and Swezy
reported another species of amoeba parasitic in man, _Councilmania
lafleuri_. The adult and cystic stages resemble in many respects
the _E. coli_. Adult said to ingest red blood cells. Stated to be
pathogenic but that more evidence is needed on this point.
=Human Experiments.=—Recently Walker and Sellards have published a
most important paper.
The experiments were made in men who had been under observation
for years at Bilibid Prison, whose food was cooked and the water
they drank distilled. Moreover, there were complete records of
examination for intestinal parasites, including entamoebae. They were
under complete control and the existence or possibility of natural
infection with amoebae was reduced to a minimum. All the men fed
pathogenic amoebae were volunteers and each signed, in his native
dialect, an agreement to the conditions of the experiment.
The first series of experiments was with cultural amoebae, in
order to refute statements that amoebae cultivated from water or
other nonparasitic sources, as well as from dysenteric stools, are
capable of living in man parasitically or of producing dysenteric
symptoms. Twenty feeding experiments on ten men were made by Walker
and Sellards with cultures of amoebae without the development in a
single instance of dysentery or the finding of such amoebae in the
stools upon microscopical examination. In 13 cases they recovered
the amoebae in cultures from the faeces from the first to the sixth
day, but never afterwards. They stated definitely that cultural
amoebae are nonpathogenic.
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