Eficácia do sulfato de aminosidine na leishmaniose visceral grave, resistente ao tratamento com antimonial pentavalente
Descreve-se um caso de calazar grave resistente a dez cursos de antimonial petitavalente (glucantime) à base de 20mg de Sb5/kg/dia, que respondeu favoravelmente ao sulfato de aminosidine intramuscular na dose de 20mg/kg/dia por 20 dias, repetido após 20 dias. O parasitismo esplénico passou de 50 par...
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Sociedade Brasileira de Medicina Tropical (SBMT)
1995
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ftdoajarticles:oai:doaj.org/article:0eefb2b9e7234b039d5d9579177060b9 2023-05-15T15:12:53+02:00 Eficácia do sulfato de aminosidine na leishmaniose visceral grave, resistente ao tratamento com antimonial pentavalente Cleudson Castro Vanize Macêdo Mário L. Silva-Vergara Cesar Cuba Celeste A. Silveira Edgar Carvalho Philip Marsden 1995-09-01T00:00:00Z https://doaj.org/article/0eefb2b9e7234b039d5d9579177060b9 EN eng Sociedade Brasileira de Medicina Tropical (SBMT) http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86821995000300017 https://doaj.org/toc/0037-8682 https://doaj.org/toc/1678-9849 0037-8682 1678-9849 https://doaj.org/article/0eefb2b9e7234b039d5d9579177060b9 Revista da Sociedade Brasileira de Medicina Tropical, Vol 28, Iss 3, Pp 273-277 (1995) Aminosidine no calazar Calazar resistente ao glucantime Calazar grave Aminosidine in kala-azar therapy Kala-azar unresponsive to glucantime Severe kala-azar Arctic medicine. Tropical medicine RC955-962 article 1995 ftdoajarticles 2022-12-31T03:22:02Z Descreve-se um caso de calazar grave resistente a dez cursos de antimonial petitavalente (glucantime) à base de 20mg de Sb5/kg/dia, que respondeu favoravelmente ao sulfato de aminosidine intramuscular na dose de 20mg/kg/dia por 20 dias, repetido após 20 dias. O parasitismo esplénico passou de 50 parasitos por campo a 3 parasitos em 10 campos logo após a primeira série de sulfato de aminosidine, tornando-se negativo depois de sete meses. A melhora clínica foi imediata, com redução gradual da hepatoesplenomegalia, e desaparecimento 26 meses após. Neste período aumentou 13 kg. Após o uso de aminosidine a reação de Monténégro tornou-se positiva e as células mononucleares responderam quando estimuladas com antígenos de leishmânia. A grave kala-azar infection in a 14 years old boy is described. The leishmanial infection failed to respond to ten interrupted courses of glucantime of variable duration (14-56 days) at a dose of 20mg Sb5/kg/day. However a favorable response ocurred to intramuscular aminosidine sulphate (20mg/kg/day) for 20 days. This same regimen was repeated 20 days later. After the first treatment splenic puncture parasite density fell from 50 amastigotes per oil immersion field to 3 amastigotes in 10 fields. A further splenic puncture 7 months after treatment was negative. The marked hepatoesplenomegaly gradually resolved over 26 months follow up and he gained 13 kilogramas in weight. After aminosidine sulphate therapy his Montenegro reaction become positive and his lymphocytes responded to leishmania antigens. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Azar ENVELOPE(-63.733,-63.733,-64.983,-64.983) |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Aminosidine no calazar Calazar resistente ao glucantime Calazar grave Aminosidine in kala-azar therapy Kala-azar unresponsive to glucantime Severe kala-azar Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
Aminosidine no calazar Calazar resistente ao glucantime Calazar grave Aminosidine in kala-azar therapy Kala-azar unresponsive to glucantime Severe kala-azar Arctic medicine. Tropical medicine RC955-962 Cleudson Castro Vanize Macêdo Mário L. Silva-Vergara Cesar Cuba Celeste A. Silveira Edgar Carvalho Philip Marsden Eficácia do sulfato de aminosidine na leishmaniose visceral grave, resistente ao tratamento com antimonial pentavalente |
topic_facet |
Aminosidine no calazar Calazar resistente ao glucantime Calazar grave Aminosidine in kala-azar therapy Kala-azar unresponsive to glucantime Severe kala-azar Arctic medicine. Tropical medicine RC955-962 |
description |
Descreve-se um caso de calazar grave resistente a dez cursos de antimonial petitavalente (glucantime) à base de 20mg de Sb5/kg/dia, que respondeu favoravelmente ao sulfato de aminosidine intramuscular na dose de 20mg/kg/dia por 20 dias, repetido após 20 dias. O parasitismo esplénico passou de 50 parasitos por campo a 3 parasitos em 10 campos logo após a primeira série de sulfato de aminosidine, tornando-se negativo depois de sete meses. A melhora clínica foi imediata, com redução gradual da hepatoesplenomegalia, e desaparecimento 26 meses após. Neste período aumentou 13 kg. Após o uso de aminosidine a reação de Monténégro tornou-se positiva e as células mononucleares responderam quando estimuladas com antígenos de leishmânia. A grave kala-azar infection in a 14 years old boy is described. The leishmanial infection failed to respond to ten interrupted courses of glucantime of variable duration (14-56 days) at a dose of 20mg Sb5/kg/day. However a favorable response ocurred to intramuscular aminosidine sulphate (20mg/kg/day) for 20 days. This same regimen was repeated 20 days later. After the first treatment splenic puncture parasite density fell from 50 amastigotes per oil immersion field to 3 amastigotes in 10 fields. A further splenic puncture 7 months after treatment was negative. The marked hepatoesplenomegaly gradually resolved over 26 months follow up and he gained 13 kilogramas in weight. After aminosidine sulphate therapy his Montenegro reaction become positive and his lymphocytes responded to leishmania antigens. |
format |
Article in Journal/Newspaper |
author |
Cleudson Castro Vanize Macêdo Mário L. Silva-Vergara Cesar Cuba Celeste A. Silveira Edgar Carvalho Philip Marsden |
author_facet |
Cleudson Castro Vanize Macêdo Mário L. Silva-Vergara Cesar Cuba Celeste A. Silveira Edgar Carvalho Philip Marsden |
author_sort |
Cleudson Castro |
title |
Eficácia do sulfato de aminosidine na leishmaniose visceral grave, resistente ao tratamento com antimonial pentavalente |
title_short |
Eficácia do sulfato de aminosidine na leishmaniose visceral grave, resistente ao tratamento com antimonial pentavalente |
title_full |
Eficácia do sulfato de aminosidine na leishmaniose visceral grave, resistente ao tratamento com antimonial pentavalente |
title_fullStr |
Eficácia do sulfato de aminosidine na leishmaniose visceral grave, resistente ao tratamento com antimonial pentavalente |
title_full_unstemmed |
Eficácia do sulfato de aminosidine na leishmaniose visceral grave, resistente ao tratamento com antimonial pentavalente |
title_sort |
eficácia do sulfato de aminosidine na leishmaniose visceral grave, resistente ao tratamento com antimonial pentavalente |
publisher |
Sociedade Brasileira de Medicina Tropical (SBMT) |
publishDate |
1995 |
url |
https://doaj.org/article/0eefb2b9e7234b039d5d9579177060b9 |
long_lat |
ENVELOPE(-63.733,-63.733,-64.983,-64.983) |
geographic |
Arctic Azar |
geographic_facet |
Arctic Azar |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista da Sociedade Brasileira de Medicina Tropical, Vol 28, Iss 3, Pp 273-277 (1995) |
op_relation |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86821995000300017 https://doaj.org/toc/0037-8682 https://doaj.org/toc/1678-9849 0037-8682 1678-9849 https://doaj.org/article/0eefb2b9e7234b039d5d9579177060b9 |
_version_ |
1766343520244727808 |