Determination of the earliest appearance and peak count of microfilariae of Wuchereria bancrofti and Brugia malayi after taking a single dose of diethylcarbamazine at noon

Abstract

Six nocturnal microfilarial carriers (three with Wuchereria bancrofti and three with Brugia malayi) from mainland China were selected to determine the earliest appearance and peak count of microfilariae (mf) administration of DEC at noon. Before diethylcarbamazine (DEC) administration, blood samples of 60 microliters were obtained by finger-prick at 2 h intervals for 24 h. A blood sample was then taken just before each carrier intaking 100 mg, 150 mg or 200 mg of DEC orally at noon. After drug administration, blood samples were obtained at 45 and 60 sec and at 2, 3, 4, 5, 10, 15, 20, 25, 30, 40, 50, 60, 90 and 120 min. Samples were then taken at 2 h intervals for the next 2 h and at 6 h intervals for the next 7 days. Both W. bancrofti and B. malayi showed typical nocturnal periodicity. One mf was first detected in the peripheral blood 45 sec in a mf. carrier. The mf peak counts were found 1-40 min after DEC administration at noon. The nocturnal cycle was distributed during the first two days after DEC administration. It became regular with a much lower peak count by the third day after administration. The results of the present study indicate that the provocative effect of DEC on the mf is very fast; the first appearance in the peripheral blood vessels could be under 45 sec.