Venoms: Venomous Animals and Antivenomous Serum-therapeuticsCalmette, A. (Albert)
Science
Venoms: Venomous Animals and Antivenomous Serum-therapeutics
Calmette, A. (Albert)
Antitoxins; Poisonous snakes; Toxins; Venom
The injection of the serum and the dressing of the wound should be
performed as in the case of poisonous bites in human beings.
_Influence of the Doses of Antivenomous Serum injected, and of the Time
that has elapsed since the Venomous Bite._--I have stated above that
antivenomous serum possesses a preventive and curative power of such
intensity, that it is capable in a few minutes of rendering animals
into which it has been injected absolutely insensible to the most
strongly neurotoxic venoms, such as those of _Naja_ or _Bungarus_. On
the other hand, I have established the fact that, the more sensitive
are the animals to intoxication by venom, the greater is the quantity
of antivenomous serum necessary to immunise them passively or to cure
them.
In experimenting upon mice, guinea-pigs, and rabbits, it is found
that in order to preserve, let us say, a mouse of 25 grammes
against inoculation with half a milligramme of venom, which is ten
times the lethal dose for this little animal, it is necessary to
give a preventive injection of 1 c.c. of serum; while half a cubic
centimetre of the same serum is sufficient to render the dose of half
a milligramme of venom innocuous, when venom and serum are mixed _in
vitro_ before being injected.
In the case of the guinea-pig, it is likewise found that the dose of
serum to be injected preventively, in order to protect the animal from
intoxication by ten times the lethal dose of venom, is about _twice as
much_ as the quantity of the same serum that it is sufficient to mix
_in vitro_ with venom, in order to render ten times the lethal dose of
venom innocuous.
If we inject into animals first venom, in doses calculated to kill
the controls of the same weight in from two to three hours, and the
serum _fifteen minutes afterwards_, it is found that the quantity of
serum that must be injected in order to prevent death is about _thrice
as great_, as that which neutralises _in vitro_ the dose of venom
inoculated.
It is also found that _the amount of curative serum that an animal
intoxicated by venom must receive is inversely proportional to its
weight_.
The experiments upon dogs, performed at the Pasteur Institute at
Lille by my collaborator C. Guérin, are highly demonstrative in this
respect.[107]
A dog of 12 kilogrammes, inoculated with 9 milligrammes of venom (a
dose lethal to controls of the same weight in from five to seven
hours), is completely cured on receiving, _two hours after inoculation
with the poison_, 10 c.c. of serum.
When the treatment does not take place until _three hours after the
injection of the venom_, it is necessary to inject 20 cc. of serum in
order to prevent the animal from dying. With a longer delay than this,
death is inevitable, since the bulbar centres are already affected, and
paralysis of the respiratory muscles commences to appear.
These facts show that:--
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