Handbook of Medical Entomology

by William A. Riley; O. A. Johannsen

As to the origin of the poison, there has been little question, until recent years, that it was a secretion from the salivary glands. Macloskie (1888) showed that each gland is subdivided into three lobes, the middle of which differs from the others in having evenly granulated contents and staining more deeply than the others ([fig. 24]). This middle lobe he regarded as the source of the poison. Bruck, (1911), by the use of water, glycerine, chloroform, and other fluids, extracted from the bodies of a large number of mosquitoes a toxine which he calls culicin. This he assumes comes from the salivary glands. Animal experimentation showed that this extract possessed hemolytic powers. Inoculated into the experimenter's own skin it produced lesions which behaved exactly as do those of mosquito bites.

Similarly, most writers on the subject have concurred with the view that the salivary glands are the source of the poison. However, recent work, especially that of Nuttall and Shipley (1903), and Schaudinn (1904), has shown that the evidence is by no means conclusive. Nuttall dissected out six sets (thirty-six acini) of glands from freshly killed Culex pipiens and placed them in a drop of salt solution. The drop was allowed to dry, it being thought that the salt crystals would facilitate the grinding up of the glands with the end of a small glass rod, this being done under microscopic control. After grinding up, a small drop of water was added of the size of the original drop of saline, and an equal volume of human blood taken from the clean finger-tip was quickly mixed therewith, and the whole drawn up into a capillary tube. Clotting was not prevented and no hemolysis occurred. Salivary gland emulsion added to a dilute suspension of corpuscles did not lead to hemolysis. This experiment was repeated a number of times, with slight modification, but with similar results. The data obtained from the series "do not support the hypothesis that the salivary glands, at any rate in Culex pipiens, contain a substance which prevents coagulation."

Much more detailed, and the more important experiments made along this line, are those of Schaudinn (1904). The results of these experiments were published in connection with a technical paper on the alternation of generations and of hosts in Trypanosoma and Spirochæta, and for this reason seem to have largely escaped the notice of entomologists. They are so suggestive that we shall refer to them in some detail.

Schaudinn observed that the three œsophageal diverticula (commonly, but incorrectly, known as the "sucking stomach") ([fig. 24]) usually contain large bubbles of gas and in addition, he always found yeast cells. On the ground of numerous observations, Schaudinn was convinced that these yeast plants are normal and constant commensals of the insect. He regarded them as the cause of the gas bubbles to be found in diverticula. It was found that as the insect fed, from time to time the abdomen underwent convulsive contractions which resulted in the emptying of the œsophageal diverticula and the salivary glands through blood pressure.

In order to test the supposed toxic action of the salivary glands, Schaudinn repeatedly introduced them under his skin and that of his assistant, in a drop of salt solution, and never obtained a suggestion of the irritation following a bite of the insect, even though the glands were carefully rubbed to fragments after their implantation. Like Nuttall, he failed to get satisfactory evidence that the secretion of the salivary glands retarded coagulation of the blood.

He then carefully removed the œsophageal diverticula with their content of yeast and introduced them into an opening in the skin of the hand. Within a few seconds there was noticeable the characteristic itching irritation of the mosquito bite; and in a short time there appeared reddening and typical swelling. This was usually much more severe than after the usual mosquito bite, and the swelling persisted and itched longer. This was because by the ordinary bite of the mosquito most of the yeast cells are again sucked up, while in these experiments they remained in the wound. These experiments were repeated a number of times on himself, his assistant and others, and always with the same result. From them Schaudinn decided that the poisonous action of the mosquito bite is caused by an enzyme from a commensal fungus. These conclusions have not, as yet, been satisfactorily tested.

Relief from the effect of the mosquito bite may be obtained by bathing the swellings with weak ammonia or, according to Howard, by using moist soap. The latter is to be rubbed gently on the puncture and is said to speedily allay the irritation. Howard also quotes from the Journal of Tropical Medicine and Hygiene to the effect that a few drops of a solution of thirty to forty grains of iodine to an ounce of saponated petroleum rubbed into the mosquito bite, or wasp sting, allay the pain instantaneously.

Methods of mosquito control will be discussed later, in considering these insects as parasites and as carriers of disease.