A Case of Cutaneous Leishmaniasis Responding to Systemic Liposomal Amphotericin B Treatment.

Leishmania is a vector-induced endemic tropical disease caused by protozoans. The most common cutaneous, mucosal and visceral forms are the cutaneous form. The main drugs in treatment are pentavalent antimony compounds, but their side effects create limitation of use. Local antimony compounds are us...

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Publicado en:Journal of Pediatric Infection / Çocuk Enfeksiyon Dergisi Vol. 14; no. 4; pp. 229 - 233
Autores principales: Taşkın, Esra Çakmak, Kütükçü, Hatice Büşra, Konca, Hatice Kübra, Arga, Gül, Özdemir, Halil, Akay, Bengü Nisa, Çiftçi, Ergin, İnce, Erdal
Formato: case study pictorial Journal Article
Publicado: Journal of Pediatric Infection / Cocuk Enfeksiyon Dergisi ara2020
Acceso en línea:Ver este registro en EBSCOhost
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        atl: A Case of Cutaneous Leishmaniasis Responding to Systemic Liposomal Amphotericin B Treatment.
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          Taşkın, Esra Çakmak
          Kütükçü, Hatice Büşra
          Konca, Hatice Kübra
          Arga, Gül
          Özdemir, Halil
          Akay, Bengü Nisa
          Çiftçi, Ergin
          İnce, Erdal
        affil: Division of Pediatric Infectious Diseases, Department of Pediatrics, Ankara University School of Medicine, Ankara, Turkey.
      sug:
        subj:
          Leishmaniasis Drug Therapy
          Amphotericin B Therapeutic Use
          Male
          Infant
          Skin Diseases, Parasitic
          Amphotericin B Administration and Dosage
          Infant: 1-23 months
          Male
      ab:
        Leishmania is a vector-induced endemic tropical disease caused by protozoans. The most common cutaneous, mucosal and visceral forms are the cutaneous form. The main drugs in treatment are pentavalent antimony compounds, but their side effects create limitation of use. Local antimony compounds are used primarily in the treatment of cutaneous leishmaniasis. In some cases, alternative treatment modalities are required due to insufficient response to local treatment. Systemic amphotericin B treatment is one of the alternative treatments. In a patient who developed cutaneous Leishmania at 21 months and who did not respond with local meglumine antimoniate therapy, a total of 21 mg/kg dose of systemic amphotericin B was given intermittently and successful results were obtained.
        Leishmania, protozoonların neden olduğu, vektör kaynaklı endemik bir tropikal hastalıktır. Kutanöz, mukozal ve visseral formları içinde en sık görüleni kutanöz formdur. Tedavide esas ilaç pentavalan antimon bileşiklerdir, ancak yan etkileri kullanım kısıtlılığı yaratmaktadır. Kutanöz Leishmania tedavisinde öncelikle lokal antimon bileşikleri kullanılır. Bazı vakalarda lokal tedaviye yanıtın yetersiz olması nedeniyle alternatif tedavi uygulamaları gerekir. Sistemik amfoterisin B tedavisi alternatif tedavilerden biridir. Bizde 21 aylık yüzde kutanöz Leishmania gelişen ve lokal meglumin antimonat tedavisi ile yanıt alınamayan bir hastada toplam 21 mg/kg dozda sistemik amfoterisin B aralıklı verilerek başarılı sonuç elde edilmiştir.
      pubtype: Academic Journal
      doctype:
        case study
        pictorial
        Journal Article
      ougenre: Article
    language: English
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