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感染巴西利什曼原虫(维安尼亚亚种)并接受葡聚糖铁治疗患者的长期随访

Long-term follow-up of patients with Leishmania (Viannia) braziliensis infection and treated with Glucantime.

作者信息

Netto E M, Marsden P D, Llanos-Cuentas E A, Costa J M, Cuba C C, Barreto A C, Badaró R, Johnson W D, Jones T C

机构信息

Núcleo de Medicina Tropical e Nutrição, Universidade de Braília, Brazil.

出版信息

Trans R Soc Trop Med Hyg. 1990 May-Jun;84(3):367-70. doi: 10.1016/0035-9203(90)90321-5.

DOI:10.1016/0035-9203(90)90321-5
PMID:2260171
Abstract

Seventy-nine patients with cutaneous (62) or mucosal (17) infection with Leishmania (Viannia) braziliensis in Três Braços, Bahia, Brazil, were followed for at least 4 years after initiating treatment with antimony. Cutaneous relapses occurred in 6/62 (10%), mucosal relapse after cutaneous infection in 2/62 (3%), and mucosal relapse after mucosal disease in 2/17 (17%). It is concluded that relapse (cutaneous and mucosal) is rare after adequate antimony therapy and that no definite prediction of relapse (clinical, serological or by skin reaction) is possible.

摘要

在巴西巴伊亚州特雷斯布拉索斯,对79例皮肤(62例)或黏膜(17例)感染巴西利什曼原虫(维安尼亚种)的患者,在开始使用锑剂治疗后进行了至少4年的随访。62例皮肤感染患者中有6例(10%)出现皮肤复发,62例皮肤感染患者中有2例(3%)在皮肤感染后出现黏膜复发,17例黏膜疾病患者中有2例(17%)在黏膜疾病后出现黏膜复发。得出的结论是,经过充分的锑剂治疗后,复发(皮肤和黏膜)很少见,并且无法(通过临床、血清学或皮肤反应)对复发进行明确预测。

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