The diagnostics and treatment of tropical diseasesStitt, E. R. (Edward Rhodes)
Science
The diagnostics and treatment of tropical diseases
Stitt, E. R. (Edward Rhodes)
Tropical medicine
_Intermittent Treatment._—There are those who consider a treatment
in which days of quinine administration are followed by days
without quinine as equally efficient and less trying on the
patient. Some of the experiences of Stephens and his colleagues
indicated that 45 grains on two consecutive days of each week and
continued for 8 weeks gave better results than 30 grains daily over
such a period. In their experiments a dosage above 45 grains in a
day did not seem any more efficient than 45 grains, so that this
may well be considered as a maximum dose. On the whole however
there seems to be a greater tendency to relapse following an
intermittent treatment and Acton, as a result of his comparison of
intermittent and continuous methods, deprecates the intermittent
one.
Some have thought that salvarsan aided the specific action of
quinine.
Many physicians recommend arsenic in the form of Fowler’s solution
or as sodium cacodylate. It is most useful in chronic cases. Some
preparation of iron is, of course, indicated in malarial anaemias.
It has been claimed that radium and X-ray treatment, when directed to
the spleen, assist the action of quinine.
Methylene blue, next to quinine, has been considered as the most
valuable drug. It is given in 2-grain doses every four hours. It is
also given intravenously.
The form of methylene blue to use is that labelled “Medicinal.”
It is often stated that the opium fiends of the tropics are immune to
malaria and some physicians have claimed antiperiodic properties for
the drug. Dover’s powder is lauded by some as of value in symptomatic
treatment.
Surveyor has recommended picric acid in the treatment of malaria in
doses of 2 grains two or three times daily.
Recently hectine, a remedy somewhat similar to the cacodylates,
has been strongly recommended by the French. It is given
intramuscularly in 2-grain doses. It is said to be valuable when
there is a leucopenia as it has a tonic action. It has been
recommended to combine this treatment with quinine.
It is said to be a good substitute for quinine in blackwater fever.
Rogers has recently noted the value of tartar emetic injections in
eradicating the sexual parasites of carriers.
After rather extended trial of this drug for the above purpose and
as a method of treating ordinary infections the general opinion is
against its value.
_General and Symptomatic Treatment._—During the course of the
fever the patient should remain in bed and given only broths.
In the intermissions of the benign forms one may allow a more
generous diet. It is important that the patient be not allowed
to become constipated and as a laxative one grain of calomel in
divided doses followed by effervescing phosphate of soda is very
satisfactory.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account