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
[Illustration: FIG. 38.—_Ornithodoros moubata._ (Murray from
Doflein.)]
A relapsing fever of Persia is transmitted by a tick of the
genus _Ornithodoros_, which is also true for the relapsing fever
of Panama. There is great variation in the description of the
different spirochaetes, and frequently measurements are given for
short forms and long forms. They also vary from wave-like lines to
corkscrew spirals. Again, different species have different types
and different activities of movement. As a rule they are about 20
× 0.4 microns. The spirochaetes of the relapsing fever of Panama
varied in length from 4.6µ to 22µ. Of these the most common were
those measuring 13µ. Transverse division of the longest forms was
seen in dark-field preparations. The monkey is susceptible to all
species of relapsing fever spirochaetes. White mice and white rats
are readily infected by _S. duttoni_ and the Panama spirochaete but
are refractory to _S. recurrentis_ except after passage through
monkeys. _S. carteri_ causes only a transient infection in these
small rodents.
=Epidemiology.=—With tick fever the epidemiology rests upon the life
history of the tick _O. moubata_. This tick infests the rest houses
along the route of travel, hiding in the crevices of floors and walls
during the day and coming out at night to bite the sleeping inmates.
The feeding occupies a long time, more than an hour. Both sexes bite
man. The female lays about 100 eggs, from which nymphs emerge in
about twenty days. The larval stage takes place in the egg. Shortly
after emerging the nymphs suck blood. An important fact is that the
female transmits the spirochaete to its ova, so that the ticks from
such ova may transmit the disease.
[Illustration: FIG. 39.—Siphunculata and Rhynchota. 1. _Pediculus
capitis._ 2. _Pediculus vestimenti._ 2_a_. Protruded rostrum of
_Pediculus_. 3. _Phthirius pubis._ 4. _Acanthia lectularia._ 5. _A.
rotundata._ 6. _Conorhinus megistus._]
Natives seem to suffer severely from tick fever in childhood but
in adult life possess a sufficient degree of immunity so that
the disease shows itself in a very mild form in those harboring
spirochaetes.
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