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
These trypanosomes are blood flagellates and are typical of the
Binucleata in possessing two chromatin-staining areas, the larger
and more centrally situated mass being the tropho or macronucleus
and the smaller, but more deeply staining one, the kineto or
micronucleus (Blepharoplast). Trypanosomes have a fusiform or
fish-shaped body which stains blue. Near the less pointed,
nonflagellated end, usually called the posterior end, is the deeply
stained blepharoplast. Adjoining this is a vacuole and, taking
origin from this part of the trypanosome, is the flagellum. This
borders an undulating membrane attached to the body and then,
carried along to the other extremity, projects free as a long,
whip-like flagellum.
In fresh preparations the body of the trypanosome progresses in the
direction of its flagellated end, although occasionally it will be
observed to move in the opposite direction.
Some trypanosomes show granules at certain stages and it has been
observed that the extrusion of these granules precedes disintegration
of the trypanosome. It has been suggested that such granules might
be infective, explaining the infectivity of blood from which
trypanosomes were absent. In the separation of trypanosomes into
groups and species Bruce relies upon morphology, action on animals,
and manner of development in the tsetse fly. He does not consider
serum diagnosis and cross inoculation methods as reliable for
differentiation. The human trypanosomes are polymorphic.
_T. gambiense_ varies much in length and breadth. The normal
type, as found in the blood, varies from 14 to 20 microns, while
longer forms, 20 to 24 microns, are growth ones and, in the
longest ones (23 to 33 microns), we have those preparing to divide
longitudinally. The normal short forms are the ones from which
the development takes place in the tsetse fly. In width these
flagellates are from 1.5 to 2 microns. The blepharoplast is oval
and the nucleus situated about the center.
[Illustration: FIG. 27.—_Glossina palpalis_ in natural resting
position and with wings outstretched. (MacNeal after Doflein.)]
With _T. rhodesiense_ the nucleus is typically located almost
adjacent to the blepharoplast. As a matter of fact it may require
the passage of this trypanosome through rats to bring out these
“posterior nuclear forms,” the nuclear location being at times almost
entirely that of _T. gambiense_. In addition to the characteristic
of nucleus being near the blepharoplast, this trypanosome is more
virulent for laboratory animals than _T. gambiense_, agreeing in this
respect with the more severe clinical course in man.
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