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Provedor de dados:  BJID
País:  Brazil
Título:  Successful use of a defined antigen/GM-CSF adjuvant vaccine to treat mucosal leishmaniasis refractory to antimony: a case report
Autores:  Badaro,Roberto
Lobo,Iza
Nakatani,Maria
Muiños,Alvaro
M. Netto,Eduardo
Coler,Rhea N.
Reed,Steven G.
Data:  2001-08-01
Ano:  2001
Palavras-chave:  Leishmaniasis
Immunotherapy
Mucosal leishmaniasis
Resumo:  Immunotherapy has been proposed as a method to treat mucosal leishmaniasis for many years, but the approach has been hampered by poor definition and variability of antigens used, and results have been inconclusive. We report here a case of antimonial-refractory mucosal leishmaniasis in a 45 year old male who was treated with three single injections (one per month) with a cocktail of four Leishmania recombinant antigens selected after documented hypo-responsiveness of the patient to these antigens, plus 50mg of GM-CSF as vaccine adjuvant. Three months after treatment, all lesions had resolved completely and the patient remains without relapse after two years. Side effects of the treatment included only moderate erythema and induration at the injection site after the second and third injections. We conclude that carefully selected microbial antigens and cytokine adjuvant can be successful as immunotherapy for patients with antimonial-refractory mucosal leishmaniasis.
Tipo:  Info:eu-repo/semantics/article
Idioma:  Inglês
Identificador:  http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702001000400008
Editor:  Brazilian Society of Infectious Diseases
Relação:  10.1590/S1413-86702001000400008
Formato:  text/html
Fonte:  Brazilian Journal of Infectious Diseases v.5 n.4 2001
Direitos:  info:eu-repo/semantics/openAccess
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