1. The infection begins with elementary bodies or elementary corpuscles which live at first extracellularly. An elementary body is a minute speck of chromatin, apparently devoid of cytoplasm, which can pass through a bacterial filter. It can enter a host cell, but the entry is not a process of phagocytosis.

2. Inside the host cell the elementary body grows in size, and becomes an initial body (fig. 119, a).

3. A reaction on the part of the host cell results, for nucleolar, plastin substance is extruded from the cell-nucleus and surrounds the parasitic initial body. The latter is thus enveloped in a mantle (hence the name Chlamydozoa, from χλαμὑς, a mantle), and the characteristic cell-inclusion (Guarnieri’s body, Negri’s body, etc.) is produced. The nucleolar, mantle substance probably represents the “cytoplasm” of Cytoryctes, described by Calkins.

4. The body next breaks up into a number of smaller bodies known as initial corpuscles. These, in their turn, divide by simple division (in the manner already described) into numerous elementary bodies (fig. 119). Thus, the life-cycle is completed.

The Chlamydozoa are, then, the minute granules inside the body of the Cytoryctes variolæ or the Neuroryctes hydrophobiæ, so that the whole body of the Cytoryctes or Neuroryctes corresponds to the mantle and parasite of the Chlamydozoön. The Cytoryctes group is said to cause destruction of the host cell. The Cytoöikon group (e.g., trachoma bodies) causes proliferation of the host cell.

In September, 1913, Noguchi[252] described the cultivation of the parasite of rabies in an artificial medium, similar to that used by him for the cultivation of Spirochæta recurrentis. The cultures were stated to be infective to dogs, rabbits and guinea-pigs. Levaditi, in December, 1913, stated that he had succeeded in cultivating spinal ganglia of rabid monkeys in monkey plasma.

Noguchi and Cohen (November, 1913)[253] have succeeded in cultivating the so-called trachoma bodies, or at any rate bodies very closely resembling them morphologically. The medium employed was Noguchi’s ascitic fluid and rabbit kidney medium, as used for spirochætes. The coarser cultural forms stained blue with Giemsa’s solution, the finer ones stained red. Attempts to infect monkeys from the culture tubes failed.

From their behaviour on treatment with such reagents as saponin, bile and sodium taurocholate, Prowazek considers that the Chlamydozoa approach the Protozoa.