Efficacy and safety of a single dose pentamidine (7mg/kg) for patients with cutaneous leishmaniasis caused by L. guyanensis: a pilot study

Anais Brasileiros de Dermatologia

Ellen Priscilla Nunes Gadelha¹  Sinésio Talhari¹  Jorge Augusto De Oliveira Guerra¹  Leandro Ourives Neves¹  Carolina Talhari¹  Bernardo Gontijo¹  Roberto Moreira Da Silva Junior¹  Anette Chrusciak Talhari¹ 

关键词: Leishmaniasis;    Cutaneous Leishmaniasis;    Pentamidine;   

DOI  :  10.1590/abd1806-4841.20153956

来源: SciELO

【 摘 要 】

Abstract:BACKGROUND: There have been few studies on pentamidine in the Americas; and there is no consensus regarding the dose that should be applied.OBJECTIVES: To evaluate the use of pentamidine in a single dose to treat cutaneous leishmaniasis.METHODS: Clinical trial of phase II pilot study with 20 patients. Pentamidine was used at a dose of 7 mg/kg, in a single dose. Safety and adverse effects were also assessed. Patients were reviewed one, two, and six months after the end of treatments.RESULTS: there was no difference between the treatment groups in relation to gender, age, number or location of the lesions. Pentamidine, applied in a single dose, obtained an effectiveness of 55%. Mild adverse events were reported by 17 (85%) patients, mainly transient pain at the site of applications (85%), while nausea (5%), malaise (5%) and dizziness (5%) were reported in one patient. No patient had sterile abscess after taking medication at a single dose of 7mg/kg.CONCLUSIONS: Clinical studies with larger samples of patients would enable a better clinical response of pent amidine at a single dose of 7mg, allowing the application of more powerful statistical tests, thus providing more evidences of the decrease in the effectiveness of that medication. Hence, it is important to have larger studies with new diagrams and/or new medications.

【 授权许可】

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