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Provedor de dados:  BJID
País:  Brazil
Título:  Oral miltefosine treatment in children with visceral leishmaniasis: a brief review
Autores:  Palumbo,Emilio
Data:  2008-02-01
Ano:  2008
Palavras-chave:  Miltefosine
Treatment
Children
Leishmaniasis
Resumo:  Visceral leishmaniasis (VL) or kala-azar is an infection disease caused by hemiflagellate protozoan parasites (Leishmania donovani) and transmitted to humans by the phlebotomine sandfly. Leishmaniasis is distributed worldwide and 13 million people are estimated to be infected, with about 1.8 million new cases each year. All antileishmanial drugs are toxic and most have to be used parenterally for prolonged period. The therapy has been further complicated by large number of infected children and declining effectiveness of pentavalent antimonial compounds. Although the lipid formulations of amphotericin B are an important advance in therapy, their high cost precludes their use. Miltefosine, a phosphocholine analogue originally developed as antimalignant drug, has been found to be highly active against Leishmania in vitro and in animal model. Based on these experiences this drug was tried against human visceral leishmaniasis and found to be highly effective in children. The aim of this review is to evidence the pharmacodymamic and pharmacokinetic characteristics and the safety, tolerance and efficacy of this drug for treatment of visceral leishmaniasis in children.
Tipo:  Info:eu-repo/semantics/other
Idioma:  Inglês
Identificador:  http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702008000100002
Editor:  Brazilian Society of Infectious Diseases
Relação:  10.1590/S1413-86702008000100002
Formato:  text/html
Fonte:  Brazilian Journal of Infectious Diseases v.12 n.1 2008
Direitos:  info:eu-repo/semantics/openAccess
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