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[用硝呋替莫和苯并硝唑治疗查加斯病的不确定形式]

[Treatment of the undetermined form of Chagas disease with nifortimox and benzonidazole].

作者信息

Ferreira H de O

机构信息

Faculdade de Medicina do Triângulo Mineiro, Uberaba, MG.

出版信息

Rev Soc Bras Med Trop. 1990 Oct-Dec;23(4):209-11. doi: 10.1590/s0037-86821990000400005.

Abstract

One hundred patients with the indeterminate form of human chronic Chagas disease were submitted to chemotherapy, 50 with nifurtimox (Bayer) and 50 with benznidazole (Roche) from 1965 up to 1985. After two-year follow-up there was negativation of xenodiagnosis in 25 (50%) and negativation of serological tests in 3 (6%) of the patients treated with nifurtimox. As for benznidazole there was 35 (70%) of xenodiagnosis negativation and 5 (10%) of serological negativation. In 92 patients after a period of 24 month follow-up there was at least one kind of positive test, indicating therapeutic failure. Eight patients with negative xenodiagnosis and serological tests were considered cured. The average follow-up in patients treated with nifurtimox and benznidazole were respectively 17.3 and 7 years.

摘要

1965年至1985年期间,100例人类慢性恰加斯病不确定型患者接受了化疗,其中50例使用硝呋替莫(拜耳公司),50例使用苯硝唑(罗氏公司)。经过两年的随访,使用硝呋替莫治疗的患者中,25例(50%)的异种诊断呈阴性,3例(6%)的血清学检测呈阴性。至于苯硝唑,异种诊断阴性的有35例(70%),血清学阴性的有5例(10%)。在92例患者经过24个月的随访后,至少有一种检测呈阳性,表明治疗失败。8例异种诊断和血清学检测均为阴性的患者被认为已治愈。使用硝呋替莫和苯硝唑治疗的患者的平均随访时间分别为17.3年和7年。

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