A Nurse's Hand-Book of Medicine

Cover A Nurse's Hand-Book of Medicine
A Nurse's Hand-Book of Medicine
John Henry Norman
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Digitized by Google Digitized by Google 8PBCIFIC INFECTIOUS DISEASES. 149 tinct forms of malaria, — ^tertian fever, quartan fever, and asstivo-autumnal fever.
The evolution of the symptoms depends on the cycle of life of the Plasmodium within the blood. After in- oculation by the mosquito the parasites enter red blood- coipusdes and grow by devouring the haemoglobin or pigment of the cell. They then are grouped into rosette- like shapes and burst, causing the chill, fever, and sweat.
Symptoms.
...— ^Within a few days after infection, a pa- tient has a chill followed by fever lasting a few hours^ which in turn subsides with sweating. Subsequently every other day this phenomenon will be repeated in tertian fever, every fourth day in quartan fever. In aestivo-autmnnal fever the whole course may be irregu- lar. There may be no chills or sweats and the fever may be continuous and similar to that in typhoid fever.
Malaria may assume a malignant form. The spleen is enlarged, anaemia very rapidly develops, and constipa- tion is common.


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