Evaluation of fuadin therapy in schistosomiasis japonica

Treatment with Fuadin was tried in 2,407 patients who were found positive for Schistosoma japonicum ova on stool examination. These patients represented both sexes of all ages ranging from 5 to 50 years. Only 1,135 were able to complete one course of 40 cc. given intramuscularly in nine injections. Of this number, 1,083 were followed-up during and after treatmentAt the end of one course, 847 or 78.21% ceased to pass viable ova; 236 or 21.79% were still positive on stool examination . Of these 236 patients, 62 continued to receive additional injections until all became negative. Taken together, 909 or 83.91% no longer passed ova in the stool at the end of treatmentOnly 334 out of 909 were followed-up one month after completing treatment, and 34 or 9.28% were again positive for eggs. These cases were considered relapses or treatment failures rather than re-infectionsToxic reactions appeared in 63.3% (718) of the 1,135 patients, the most common of which were nausea, vomiting, and anorexia, general body weakness, headache, joint pains, and fever. Despite these reactions, the whole course of nine injections was continued in the 1,135 patients by simply prolonging the interval of injection as long as the toxic reactions were still present. (Summary)

Field studies on the treatment of schistosomiasis japonica with nilodin

Nilodin was tried in 238 cases of Schistosomiasis japonica, most of whom were early cases; but only in 233 was the treatment completedThe total dosage given per treatment was 60 mgm. per kilo body weight, administered by mouth in divided doses for a period of three to six days, proportionately reduced in children according to weight. That an adult of 50 kg. received a total of three Gm. or one Gm. a day for period of three days or 0.5 Gm. a day to six daysThe results showed that, of the 233 who completed the treatment 218 or 93.24% were still positive for viable eggs from one to four weeks after the treatment; only 13 or 5.40% became negativeToxic reactions, which were usually too mild and insufficient stop treatment, occurred in 229, or 96.6%, of the casesJudging from the results of this study, it would seem that Nilodin is not effective in the treatment of Schistosoma japonicum, with the same dosage used against S. mansoni and S. baematobium infections. It is hoped, however, that further studies on this treatment, with increased dosage, will be made. (Summary)