Abstract
A survey of 100 cases of oxyquinoline poisoning in dogs is presented. The disease, characterized by hyperexcitability of the CNS with convulsions as well as heart and liver injury, runs an acute course. The mortality (euthanized dogs included) was 30 %. Case-history data showed that the oxyquinoline treatment which preceded the disease was given because the dog had incidental diarrhoea. In most cases the drugs were administered for only 1 day before the dog fell ill. The median time from the last dose to onset of symptoms was 12 hrs. Old dogs were affected more often than expected and also showed higher mortality than did young dogs.
Keywords: convulsions, diarrhoea, dog, halogens, oxyquinolines, poisoning, toxicity
Sammanfattning
En översikt av 100 fall av oxikinolinförgiftning hos hund presenteras. Sjukdomen som har ett akut förlopp karakteriseras bl. a. av ökad retbarhet i CNS samt myokard- och leverskador. Mortaliteten (avlivade hundar inkluderade) var 30 %. Enligt anamnetiska uppgifter hade oxikinolinbehandlingen, som föregick sjukdomen, utförts p. g.a. att hunden hade tillfällig diarré. I flertalet fall hade preparatet givits endast 1 dag innan hunden insjuknade. Medianen (avseende tiden från sista dosen till symtomens uppträdande) var 12 timmar. Gamla hundar insjuknade oftare och visade högre mortalitet än de yngre hundarna.
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Footnotes
Supported by grants from the Swedish Medical Research Council.
References
- Bengtsson K, Vikrot O. Retrograd amnesi efter broxikinolin. (Retrograde amnesia after broxyquinoline) Svenska Läk.-Tidn. 1972;69:14–16. [PubMed] [Google Scholar]
- Berggren L, Hansson O. Treating acrodermatitis enteropathica. Lancet. 1966;1:52. doi: 10.1016/S0140-6736(66)90040-7. [DOI] [Google Scholar]
- Berggren L, Hansson O. Absorption of intestinal antiseptics derived from 8-hydroxyquinolines. Clin. Pharmacol. Ther. 1968;9:67–70. doi: 10.1002/cpt19689167. [DOI] [PubMed] [Google Scholar]
- Berggren L, Hansson O, Wahlberg I. Läkemedelsbiverkan och tarmresorbtion av 3-hydroxykinolinpreparat. (Secondary effect and absorption from the intestine of 8-hydroxyquinoline drugs) Svenska Läk.-Tidn. 1968;65:3772–3773. [Google Scholar]
- Christensen F, Dam H. Kidney damage in hamsters receiving an artificial diet containing 5,7-dichloro-8-hydroxychinaldine. Acta Pharmacol. (Kbh.) 1961;18:249–254. doi: 10.1111/j.1600-0773.1961.tb01664.x. [DOI] [PubMed] [Google Scholar]
- Cohn H D, Harun J S. Letter to the Editor. J. Amer. med. Ass. 1972;220:276. doi: 10.1001/jama.1972.03200020083021. [DOI] [Google Scholar]
- David N A, Johnstone H G, Reed A C, Leake C D. The treatment of amebiasis with iodochlorhydroxyquinoline (Vioform N.N.R.) J. Amer. med. Ass. 1933;100:1658–1661. doi: 10.1001/jama.1933.02740210006002. [DOI] [Google Scholar]
- David N A, Phatak N M, Zener F B. Iodochiorhydroxyquinoline and diiodohydroxyquinoline: animal toxicity and absorption in man. Amer. J. trop. Med. 1944;24:29–33. doi: 10.4269/ajtmh.1944.s1-24.29. [DOI] [Google Scholar]
- Domar M, Juhlin L. Allergic dermatitis produced by oral clioquinol. Lancet. 1967;1:1165–1166. doi: 10.1016/S0140-6736(67)91752-7. [DOI] [PubMed] [Google Scholar]
- Etheridge J E Jr, Stewart G E. Treating acrodermatitis enteropathica. Lancet. 1966;1:261–262. doi: 10.1016/S0140-6736(66)90076-6. [DOI] [Google Scholar]
- Gholz L M, Arons W L. Prophylaxis and therapy of amebiasis and shigellosis with iodochlorhydroxyquin. Amer. J. trop. Med. 1964;13:396–401. doi: 10.4269/ajtmh.1964.13.396. [DOI] [PubMed] [Google Scholar]
- Goodman, L. S. & A. Gilman: The Pharmacological Rasis of Therapeutics. 4th Ed. The Macmillan Company, New York 1971.
- Griffith, B. M.: Intestopan, a 26-week oral toxicity study in dogs. Sandoz Ltd., Dept. Pharm Tox., March 28, 1969 (unpublished).
- Hangartner P. Troubles nerveux observés chez le chien après absorbtion d’entérovioform Ciba. (Nervous symptoms observed in dogs after absorption of Enterovioform Ciba) Schweiz. Arch. Tierheilk. 1965;107:43–47. [Google Scholar]
- Haskins W T, Luttermoser G W. Urinary excretion of vioform and diodoquin in rabbits. J. Pharmacol, exp. Ther. 1953;109:201–205. [PubMed] [Google Scholar]
- Hessle, L.-O.: Personal communication 1971.
- Kaeser H E, Scollo-Lavizzari G. Akute zerebrale Störungen nach hohen Dosen eines Oxychinolinderivates. Acute cerebral disturbance after high doses of an oxyquinoline derivative) Dtsch. med. Wschr. 1970;95:394–397. doi: 10.1055/s-0028-1108472. [DOI] [PubMed] [Google Scholar]
- Kaeser H E, Wüthrich R. Zur Frage der Neurotoxizität der Oxychinoline. (On the possible neurotoxicity of oxyquinoline) Dtsch. med. Wschr. 1970;95:1685–1688. doi: 10.1055/s-0028-1108711. [DOI] [PubMed] [Google Scholar]
- Kjaersgaard K. Amnesia after clioquinol. Lancet. 1971;2:1086. doi: 10.1016/S0140-6736(71)90397-7. [DOI] [PubMed] [Google Scholar]
- Knight A A, Miller J. Comparative studies on the iodine absorption of Anayodin, Chiniofon, Diodoquin, and Vioform in man. Ann. intern. Med. 1949;30:1180–1187. doi: 10.7326/0003-4819-30-6-1180. [DOI] [PubMed] [Google Scholar]
- Lannek, B.: Toxicity of halogenated oxyquinolines in dogs. A clinical study. II. History, symptoms, laboratory findings, therapy and follow-up. To be published. [PubMed]
- Lannek, B. & P. Lindberg: Toxicity of halogenated oxyquinolines in dogs. An experimental study. To be published.
- Meier-Ruge, W.: Experimentelle Erzeugung von Veränderungen am distalen Tubulus der Niere durch halogenierte Chinolin- und Chinaldinderivate. (Experimental production of changes in the distal renal tubule by halogenated quinoline- and chinaldin-derivatives). Verh. dtsch. Ges. Path. 1963, 47, 356–361. [PubMed]
- Meier-Ruge W. Untersuchungen über primäre Alterationen am distalen Nierentubulus der Ratte mit Störung des Haarnadelgegenstromsystems. (Studies of the primary changes of the distal renal tubule of the rat with disturbance of the hair-pin counter current system) Virchows Arch. path. Anat. 1964;337:470–482. doi: 10.1007/BF00957691. [DOI] [PubMed] [Google Scholar]
- Müller L F. Die Mexaformvergiftung des Hundes (Klinische Demonstration). (The mexaform poisoning in the dog. Clinical demonstration) Kleintier-Prax. 1967;12:51–52. [Google Scholar]
- Palm, A.: Untersuchungen in der Chinolinreihe. X. Mitteilung: Dijod-verbindungen. (Investigations of the quinoline series. X. Communication: Diiodocombinations). Naunyn-Schmiedeberg’s Arch. exp. Path. Pharmak. 1932, 166, 176–185.
- Püschner H, Fankhauser R. Neuropathologische Befunde bei experimenteller Vioform-Vergiftung der weissen Maus. (Neurological symptoms after experimental Vioform poisoning in the white mouse) Schweiz. Arch. Tierheilk. 1969;111:371–379. [PubMed] [Google Scholar]
- Remington, R. D. & M. A. Schork: Statistics with Applications to the Biological and Health Sciences. Prentice-Hall, Inc., Englewood Cliffs, New Jersey 1970.
- Ritter P, Jermann M. Vergleichende Untersuchungen über Resorption und Stoffwechsel einiger therapeutisch angewendeter 8-Hydroxychinoline. (Comparative study on the absorption and the metabolism of some 8-hydroxyquinolines for therapeutic use) Arzneimittel-Forsch. 1966;16:1647–1652. [PubMed] [Google Scholar]
- Schantz B, Wikström B. Suspected poisoning with oxyquinoline preparations in dogs. Svensk Vet.-T. 1965;4:106–107. [Google Scholar]
- Silverman D N, Leslie A. Toxic effects of diodoquin. J. Amer. med. Ass. 1945;128:1080–1081. doi: 10.1001/jama.1945.02860320022005. [DOI] [Google Scholar]
- Strandvik B, Zetterström R. Amaurosis after broxyquinoline. Lancet. 1968;1:922–923. doi: 10.1016/S0140-6736(68)90280-8. [DOI] [PubMed] [Google Scholar]
- Tateishi J, Kuroda S, Saito A, Otsuki S. Myelo-optic neuropathy induced by clioquinol in animals. Lancet. 1971;2:1263–1264. doi: 10.1016/S0140-6736(71)90584-8. [DOI] [PubMed] [Google Scholar]
- Tenney A C. The present concept of Entameba Histolytica infestation. Illinois med. J. 1936;70:145–148. [Google Scholar]
