Introduction to the Study of Malarial Diseases

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QUOTIDIAN FEVER has now to be considered, and needs to be explained in a peculiar manner. For a special parasite of quotidian fever has not hitherto been recognised. To put the matter briefly, quotidian fever is either a double tertian, or else a triple quartan fever. What do we mean by this?
(a) Double Tertian Fever. By this we mean that there are in the blood two generations of tertian parasites, fission (sporulation) in one generation occurring twenty-four hours after this process has occurr
...ed in the other (vide Temperature- Chart III. ). But since, as we have seen above, fission (sporulation) of the parasites always entails an attack of fever, it follows that if sporulation occurs every twenty-four hours the patient will also be attacked by fever every twenty-four hours he will have, that is to say, a quotidian fever (vide Temperature- Charts III. And Ilia. ). To explain in a similar fashion a quotidian fever due to quartan infection, we must suppose that (6) Three generations of quartan parasites are simultaneously present in the blood, fission (sporulation) occurring at intervals of twenty-four hours.

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