Why is a hot bath often followed by ague chill?

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Ague Chill after Hot Bath

Q. Why is a hot bath often followed by ague chill?

A. In persons suffering from chronic malarial infection the parasites which give rise to the disease sometimes have been absent from the blood, where they are always present during an acute attack. In such cases the parasites are believed to be hiding in the spleen and other vascular or­gans. The effect of a hot bath is to bring the parasites out into the circulation, the result of which is the occurrence of a chill. This fact renders hot baths valuable as an aid in combating malarial fever. In connection with the hot baths, small doses of quinine may succeed in destroying the parasites, when without the hot baths large doses would prove inefficient.

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