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
=Diagnosis.=—In the laboratory diagnosis of those cases not showing
the flagellates in the blood the usual method is to inoculate a
guinea pig with the blood and in about two weeks _S. cruzi_ may be
found in the blood of the animal. The parasites may not appear,
however, in the blood, when one should resort to culturing the guinea
pig’s blood or more surely examine sections of muscle of the animal
for the forms in the muscle cells undergoing binary division.
Brumpt has recently advocated the xenodiagnostic method. Thus, in a
number of guinea pigs infected with _S. cruzi_, parasites could not
be found, but by having third stage larvae of _Conorhinus_ feed on
these animals the parasites developed in the bugs. He regards the
alimentary tract of these bugs as a most favorable culture medium.
=Prophylaxis and Treatment.=—Other than destroying the bugs by
sulphur fumigation or whitewashing there is little to note. The bugs
show a liking for leather articles, as old harness.
The same plan of treatment as for African trypanosomiasis may be
tried but such treatment is not effective with infected animals.
In the myxoedema types thyroid extract is indicated.
NOTE: Escomel has reported the finding of a trypanosome 20 to 40
microns by 3 to 4 microns which had a flagellum as long as the
body and with a very small but distinct blepharoplast (unlike _S.
cruzi_) in the blood of a native of Peru. The patient at the time
of the blood examination was afebrile and showed a generalized firm
oedema. There was noted anaemia, prostration and somnolence. This
may be a new species.
TRYPANOSOMIASES OF ANIMALS
=Trypanosoma brucei.=—This trypanosome causes a surely fatal
disease in horses and one from which few cattle recover. It is
called “nagana” or the fly disease, from being transmitted by
the tsetse fly, _Glossina morsitans_. All animals except man and
possibly the goat seem susceptible. The disease is characterized
by fever, oedematous areas about neck, abdomen and extremities,
progressive anaemia and emaciation. It is an important disease of
domesticated animals of many parts of Africa.
=Trypanosoma evansi.=—This is the cause of a very fatal disease
of horses in India and the Orient and known as “surra.” It also
affects camels and even cattle. It is thought to be transmitted
by biting flies (_Stomoxys_). The symptoms are fever, emaciation,
oedematous areas and great muscular weakness.
=Trypanosoma equinum.=—This trypanosome causes a fatal disease in
horses in South America. There is paralysis of the hind quarters of
the horse which gives the disease the name “mal de caderas.”
=Trypanosoma equiperdum.=—This trypanosome causes a disease of
horses in many parts of the world. It is known as “dourine” and is
transmitted by coitus. The genital organs show marked oedema which
is followed by anaemia and paralysis.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account