Administration of four doses of 50 to 100 mg cortisone/kg body wt to rats 2 days prior to, and 2 days postinoculation with ca. 1 X 106 Trypanosoma lewisi causes a prolonged parasite reproductive phase, higher parasitemias, and production of virulent infections. The enhanced virulence is most likely due to an impairment of the host immune response. Reinfection of rats recovered from T. lewisi infections was not possible in spite of protracted cortisone treatment. Trypanosoma lewisi in the rat is a classic example of a nonpathogenic hemoflagellate infection. During the course of infection three phases are discernible in the peripheral circulation: (1) a day or two after inoculation the parasites appear in the blood and undergo active reproduction for a period of 3 to 4 days. At this time the number of dividing forms is high, and there is considerable variability in size and shape; (2) after the 5th or 6th day a number crisis occurs during which most of the parasites are destroyed; the survivors do not divide, but persist in the blood for an additional period, are of uniform size, and are referred to as adults; and (3) a second number crisis terminates the infection after 3 to 4 weeks, and results in complete protective immunity of the rat against reinfection. The immunologic events which underlie these manifestations have been ascribed to the production of a reproduction-inhibiting antibody, called ablastin, which inhibits the reproduction of the parasites without injuring them and without destruction of motility or viability, and the formation of two trypanocidal antibodies, which result in the two number crises (Taliaferro, 1924, 1932). Other workers suggest that only two antibodies are involved (Chandler, 1958; Ormerod, 1963). Modifications of the course of infection have been attempted with varying success. The most successful demonstration of enhanced virulence and prolongation of the parasitic reproductive phase was accomplished by keeping rats on a pantothenate-deficient diet (Becker et al., 1943, 1947) or by oral administration of sodium salicylate (Becker and Received for publication 29 July 1966. * Supported by a grant from the NIH, Institute of Allergy and Infectious Diseases (AI 05226). Gallagher, 1947; Saul and Becker, 1949). The present work suggests that cortisone treatment of the host so modifies its immune response that the infection becomes virulent. MATERIALS AND METHODS Male rats weighing 120 to 175 g were obtained from Berkeley Pacific. The colony was apparently free of Bartonella infections. The strain of Trypanosoma lewisi was obtained from Dr. P. D'Alesandro, of the Rockefeller University. Cortisone was an aqueous suspension of 25 mg/ml hydrocortisone acetate for intramuscular use (Robinson Laboratory). Blood for hematocrits and thin films was obtained by snipping off the tip of the tail. Daily blood films were prepared and stained in Giemsa. Hematocrits were taken using microhematocrit capillary tubes (Clay-Adams). The numbers of trypanosomes per mm' of blood were counted by the method of D'Alesandro (1959) and modified by the lematocrit values. Reproductive activity of the trypanosomes was determined using the method of D'Alesandro (1959), but included broad as well as dividing and small forms. The experiments were divided into a series of 7: Group A: Four animals given 0.5 ml of 0.85% NaCl intramuscularly in the hind limbs 2 days before and 2 days after inoculation. Group B: Four animals given 200 mg cortisone/kg body wt administered as four intramuscular injections with the injection schedule as in A. Group C: Five animals given 300 mg cortisone/kg body wt and administered in a manner described above. Group D: Four animals given 400 mg cortisone/kg body wt with injection schedule similar to groups A, B, and C. Groups A through D were inoculated intraperitoneally with ca. 1 X 10 trypanosomes, derived from animals infected intraperitoneally 5 to 7 days previously. Approximately 50% of the trypanosomes were dividing forms. The amount of antibody present in this inoculum was probably quite low since parasites were taken before the first crisis and infected blood was diluted approximately 10-fold in 0.85% NaCl.