In view of the literatures regarding the treatment of microfilaria infection in man and dogs, we know that almost all anthelmintics, for instance, atoxyl, salvarsan, imamicoll, phenocoll, trypanred, ttypanblue, malachitgreen, methylenblue, emetin, picric acid, filarisin chinine hydrochlolide, etc. have hitherto been used without any favorable effects.On the contrary, a number of reports as regards the favorable effects of intravenous injections of tartar emetics, especially natrium antimonyl tartarate upon schistosomiasis, paragonimiasis, and chlonorchiasis has recently been published by various authors.Referring to these reports, we engaged in the treatment of Dirofilariasis in dogs which is widely spread in Japan by employing natrium antimonyl tartarate for the past several years. In the present paper the results obtained are briefly described.Periodicity of Microfilaria Immitis. In order to count the number of microfilariae per 20cmm. of the blood collected from the peripherial veins of four filarial dogs was examined every three hours for twenty-four hours, that is, from the 20th to the 21st of March in 1923. The results are shown as follows (Table 1):So far as any conclusion can be drawn from these few observations, it would appear that Microfilaria immitis has a slight periodicity in the blood of peripheral veins. The maximum number was observed at six o'clock in the evening, but it was not so marked as in the case of embryos of Wuchereria bancrofti. Based upon this fact we procured the blood in the evening for the purpose of counting of microfilariae in it with possible certainty.Dose of Natrium Antimonyl Tartarate Required. The solution of natrium antimonyl tartarate employed was freshly prepared before use in a concentration of 0.003 or 0.004 per each cubic centimeter of the physiological saline solution.Prior to treating filarial dogs, a series of experiments were carried out mainly on puppies to determine the safe dose of the drug for healthy dogs. The results are given in Table II.From the foregoing experiments it has been noticed that the death of the animals actually followed the administration of a single dose at the rate of 0.01 per kilo of the body weight within twenty-four hours if an after-treatment such as the administration of adrenalin was not carried out, and that seven doses at the rate of 0.005 per kilo for successive days would cause the toxic ill-effects in healthy dogs. Two dogs could tolerate the daily administration of seven doses of 0.004 per kilo, while four injections of 0.004 per kilo resulted in some cases in death of the animals, These conflicting results suggest that all dogs are not equally susceptible to the drug.Generally speaking, definite proof has been obtained that the several intravenous injections of natrium antimonyl tartarate in doses varying from 0.003 to 0.004 per kilo at intervals of one to two days could be carried out in the non-filarial dogs without any deleterious effects.In the following experiments, we administered the same amounts of the drug in the same way to six filarial dogs to obtain information as to the anthelmintic dose and the resistance of dogs against the drug, and obtained the result that the administration of only three doses at the rate of 0.003 per kilo at one to five day intervals was sufficient to kill microfilariae in the peripheral blood as in the case of dog No 4. It will be obtained, however, that the same dose of the drug had not always lethal effect on filarial embryos. In most cases, slight or severe toxic symptoms such as refusal to take food, elevation of the bodily temperature, drowsiness, sometimes even collapse for a few days, followed the practice. The details are given in Table III.After these experiments, the injections of natrium antimonyl tartarate were carried on seventeen patients for the treatment of microfilaria injection with satisfactory results.
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