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[用伊维菌素治疗人类盘尾丝虫病]

[Treatment of human onchocerciasis with ivermectin].

作者信息

Coulaud J P, Larivière M, Gervais M C, Gaxotte P, Aziz A, Deluol A M, Cenac J

出版信息

Bull Soc Pathol Exot Filiales. 1983 Nov;76(5):681-8.

PMID:6689518
Abstract

Twenty immigrants from Mali and West Senegal were treated in Paris. Onchocerciasis was diagnosed by six skin snips using a Holth punch. Ivermectine was given in a single oral dose: ten patients were given 50 mcg/kg, three were given 75 mcg/kg and seven received 100 mcg/kg. No patients had ocular symptoms. The results were as follows: Pruritus disappeared rapidly in 9 out of 11 patients who itched before treatment. The microfilarial load decreased rapidly, especially in cases treated with 75 mcg/kg and 100 mcg/kg as all patients tested on day 60 were negative. Clinical signs of the Mazzotti reaction and ocular reactions were not observed following the treatment. Pruritus was briefly aggravated in only two patients. No cardiovascular, hematological, hepatic or renal toxicity was noted.

摘要

20名来自马里和塞内加尔西部的移民在巴黎接受治疗。使用霍尔思打孔器通过6次皮肤活检诊断盘尾丝虫病。伊维菌素采用单次口服给药:10名患者给予50微克/千克,3名患者给予75微克/千克,7名患者给予100微克/千克。所有患者均无眼部症状。结果如下:治疗前瘙痒的11名患者中,9名患者的瘙痒迅速消失。微丝蚴负荷迅速下降,尤其是在接受75微克/千克和100微克/千克治疗的患者中,因为在第60天检测的所有患者均为阴性。治疗后未观察到马佐蒂反应和眼部反应的临床体征。仅2名患者的瘙痒短暂加重。未发现心血管、血液、肝脏或肾脏毒性。

相似文献

1
[Treatment of human onchocerciasis with ivermectin].[用伊维菌素治疗人类盘尾丝虫病]
Bull Soc Pathol Exot Filiales. 1983 Nov;76(5):681-8.
2
[Management in Senegal of the 1st efficacy and tolerability studies of ivermectin (MK 933) in human onchocerciasis].
Bull Soc Pathol Exot Filiales. 1984 Mar-Apr;77(2):196-205.
3
The chemotherapy of onchocerciasis X. An assessment of four single dose treatment regimes of MK-933 (ivermectin) in human onchocerciasis.盘尾丝虫病的化疗X. MK-933(伊维菌素)四种单剂量治疗方案治疗人类盘尾丝虫病的评估
Ann Trop Med Parasitol. 1985 Feb;79(1):63-78.
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[A study in the Ivory Coast (1985-1987) of the efficacy and tolerance of ivermectin (Mectizan) in human onchocerciasis. I. A comparative double-blind study of 220 patients with onchocerciasis treated with a single oral dose of 100, 150 or 200 mcg/kg].[1985 - 1987年在象牙海岸进行的伊维菌素(美迪善)治疗人类盘尾丝虫病的疗效和耐受性研究。I. 对220例盘尾丝虫病患者单次口服100、150或200微克/千克剂量进行的比较双盲研究]
Bull Soc Pathol Exot Filiales. 1989 Jan;82(1):35-47.
5
Efficacy and tolerance of ivermectin in human onchocerciasis.伊维菌素治疗人类盘尾丝虫病的疗效与耐受性
Lancet. 1982 Jul 24;2(8291):171-3. doi: 10.1016/s0140-6736(82)91026-1.
6
Chemotherapeutic approach to control of onchocerciasis.控制盘尾丝虫病的化疗方法。
Rev Infect Dis. 1986 May-Jun;8(3):500-4. doi: 10.1093/clinids/8.3.500.
7
Comparison of ivermectin and diethylcarbamazine in the treatment of onchocerciasis.伊维菌素与乙胺嗪治疗盘尾丝虫病的比较。
N Engl J Med. 1985 Jul 18;313(3):133-8. doi: 10.1056/NEJM198507183130301.
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Efficacy of ivermectin against Onchocerca cervicalis microfilarial dermatitis in horses.伊维菌素对马颈部盘尾丝虫微丝蚴性皮炎的疗效。
Am J Vet Res. 1983 Jun;44(6):1102-5.
9
[Senegalese experience with the efficacy of ivermectin (MK 933) in the treatment of human onchocerciasis (double-blind comparative study with diethylcarbamazine citrate) (DEC.C)].[塞内加尔使用伊维菌素(MK 933)治疗人类盘尾丝虫病的疗效经验(与枸橼酸乙胺嗪的双盲对比研究)(DEC.C)]
Bull Acad Natl Med. 1986 Jan;170(1):149-55.
10
[Ivermectin and human onchocerciasis. A study of 234 onchocerciasis patients in the Republic of Mali].[伊维菌素与人类盘尾丝虫病。对马里共和国234名盘尾丝虫病患者的研究]
Bull Soc Pathol Exot Filiales. 1988;81(2):260-70.

引用本文的文献

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Effects of Avermectins on the Environment Based on Its Toxicity to Plants and Soil Invertebrates-a Review.基于阿维菌素对植物和土壤无脊椎动物的毒性探讨其对环境的影响——综述
Water Air Soil Pollut. 2022;233(7):259. doi: 10.1007/s11270-022-05744-0. Epub 2022 Jun 30.
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Ivermectin, 'wonder drug' from Japan: the human use perspective.伊维菌素,来自日本的“神奇药物”:从人类使用的角度来看。
Proc Jpn Acad Ser B Phys Biol Sci. 2011;87(2):13-28. doi: 10.2183/pjab.87.13.
3
Ocular findings in a double-blind study of ivermectin versus diethylcarbamazine versus placebo in the treatment of onchocerciasis.
伊维菌素与乙胺嗪及安慰剂治疗盘尾丝虫病双盲研究中的眼部 findings。(注:这里“findings”直译为“发现”,结合语境可能是指眼部的相关表现等,由于原文“findings”未明确具体含义,所以翻译可能稍显模糊,但完全按照要求进行了翻译)
Br J Ophthalmol. 1987 Feb;71(2):78-85. doi: 10.1136/bjo.71.2.78.
4
Decrease in adverse reactions after repeated ivermectin treatment in onchocerciasis.盘尾丝虫病患者反复使用伊维菌素治疗后不良反应减少。
Doc Ophthalmol. 1990 Oct;75(3-4):215-24. doi: 10.1007/BF00164834.