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
A drug which is reported to have exceptional trypanocidal effect
on animals infected with both human trypanosomes is “Bayer 205.”
Dogs infected with the dourine parasite and showing oedema
and eye symptoms have been cured by the injection of the drug
intravenously. A dose of 0.5 mg. causes disappearance of parasites
in mice. It is stated that the drug produces a protection against
reinfection which lasts for months.
BRAZILIAN TRYPANOSOMIASIS
=General Considerations.=—In 1909, Chagas reported the finding
of a flagellate in the intestines of _Conorhinus megistus_ or,
more properly, _Lamus megistus_. He was also able to transmit the
flagellate to laboratory animals and could culture it on blood agar.
[Illustration: FIG. 33.—_Schizotrypanum cruzi_ in blood of child
with acute type of Brazilian trypanosomiasis. (MacNeal from Doflein
after Chagas.)]
In investigating the matter of the importance of this flagellate,
_Schizotrypanum cruzi_, in Minas Geraes, Brazil, where the
above-named bug was present in great numbers in the cracks of the
houses of the poor he associated this flagellate infection, which he
at first considered trypanosomal, with a disease of the children of
that section.
The bug is a vicious feeder and, from its biting chiefly about the
face, has been called barbeiro or barber by the natives. Both the
male and female of _Lamus_ bite and can transmit the disease and
although the parasite is not transmitted hereditarily the nymph is
capable of sucking blood and becoming infected.
[Illustration: FIG. 34.—_Conorhinus megistus_, the insect carrier of
_Schizotrypanum cruzi_. (From Doflein after Chagas.)]
It requires several months for the insect to go through the egg,
larval and pupal stage to maturity. Some consider this bug to
belong to the genus _Triatoma_. The insects may live for more than
a year and tend to remain in the same house where they may have
become infected but leave such house if it be abandoned by man.
Brumpt thinks that the bedbug may also transmit the disease. A
large proportion of armadillos in the endemic areas are infected
with _S. cruzi_ but do not seem to be affected thereby. It has been
suggested that this animal may be a reservoir of virus.
[Illustration: FIG. 35.—_Schizotrypanum cruzi_ developing in the
tissues of the guinea pig. 1. Cross-section of a striated muscle
fibre containing _Schizotrypanum cruzi_: Note dividing forms. 2.
Section of brain showing a _Schizotrypanum_ cyst within a neuroglia
cell, containing chiefly flagellated forms. 3. Section through the
supra-renal capsule, fascicular zone. 4. Section of brain showing a
neuroglia cell filled with round forms of _Schizotrypanum_. (From
Low, in Sleeping Sickness Bulletin, after Vianna.)]
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