1228 



THE TROPICAL HEMOGLOBINURIAS 



tion and to clear the urine. Cholesterin in doses of i gramme has been given 

 at intervals of four hours until two to three or four doses have been admin- 

 istered. It is given in suspension in thick milk, or as intramuscular injections 

 in olive oil, and has been advocated on account of its antihaemolytic action. 



Prophylaxis. — ^Very little can be said with regard to the prophy- 

 laxis, as the knowledge of the setiology is incomplete. As black- 

 water fever generally develops in persons who have suffered from 

 malaria, quinine prophylaxis should be carried out in the manner 

 already described in the chapter on Malaria (Chapter XL., p. 1204), 

 attacks of malaria being treated by quinine t annate in small repeated 

 doses, or the drug should be preceded by a dose of calcium lactate. 



REFERENCES. 



Modern literature will be found to be ably reviewed in the Tropical Diseases 

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Berenger-Feraud (1874-78). De la Fievre Bilieuse Melanurique des Pays 



Chauds. Paris, 1874. 

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Low and Wenyon (191 3). Journ. of Tropical Medicine and Hygiene, 



No. II, vol. xvi. 

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Plehn, a. (1903). Archiv fiir SchifEs- und Tropen-Hygiene, Bd. vii., p. 541, 

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Experimental Haemoglobinuria. 

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