The Propaganda for Reform in Proprietary Medicines, Vol. 1 of 2Council on Pharmacy and Chemistry (American Medical Association)
Science
The Propaganda for Reform in Proprietary Medicines, Vol. 1 of 2
Council on Pharmacy and Chemistry (American Medical Association)
Patent medicines
CASE 7.--This case was one of mixed infection (benign tertian and
estivo-autumnal). The patient had a clinical history of malaria
dating back two weeks, with a maximum temperature of 104 on
admission. Tertian rings, estivo-autumnal rings and crescents were
found in the blood. The patient was placed in bed, given thorough
eliminating treatment, and 1/2 ounce of Sinkina was administered
four times daily. His clinical symptoms ran on for two days with
no change, and there was no difficulty in finding the plasmodia
in blood-smears, which were taken twice daily. The dose was then
doubled and at the end of four days more there was no change in
either his clinical symptoms or the blood-findings. The patient was
then placed on 10 grains of quinin sulphate with 15 drops of diluted
hydrochloric acid three times daily, to which he responded in less
than forty-eight hours and made an uneventful recovery.
CASE 8.--This was the other case of benign tertian malaria. The
patient had chills every other day while on the treatment, and
laboratory diagnosis confirmed the clinical findings. Experimental
treatment was carried on for four days, with a negative result.
The investigator calls attention to the fact that the first case in
which improvement resulted does not show any necessary connection with
the Sinkina administered, for many cases of benign tertian malaria will
clear up in just as short a time under any line of treatment, while
practically all will eventually do so. This investigator later reported
another case and transmitted a clinical chart.
CASE 9.--This patient was admitted to the hospital, Dec. 30, 1912,
with a history of having had malaria for some weeks. The diagnosis
was confirmed by a blood examination. He was then carried for four
days without treatment other than rest in bed and a liquid diet. His
symptoms subsided by the third day. On the fourth day a count of
the parasites was made which showed that there were 1,160 asexual
parasites and 260 sexual forms to every thousand leukocytes. The
following day he was placed on Sinkina, 1 ounce three times daily.
There was exacerbation of symptoms on the following day, which
gradually increased until the fourth day, remaining about stationary
for a day or so. The fifth day after the patient had been placed
on Sinkina, another count of the parasites showed 5,600 asexual
parasites and 300 sexual forms to the thousand leukocytes, this being
an increase of 4,440 asexual forms and forty sexual forms to every
thousand leukocytes. With the second count of parasites the dose of
Sinkina was increased to 2 ounces every four hours, the patient being
kept on this until January 14, without result. He was then placed on
quinin, with a complete reduction of the temperature to normal and
the disappearance of the parasites from the blood.
The investigator also reported a case of benign tertian malaria.
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