CUTANEOUS LEISHMANIASIS: SCHEDULES FOR INTRALESIONAL TREATMENT WITH SODIUM STIBOGLUCONATE

Background. Various therapeutic modalities have been used for treating cutaneous leishmaniasis. Intralesional pentavalent antimonial injection is one of the effective therapeutic modalities. In this study, the efficacy of three different intralesional schedules with sodium stibogluconate have been i...

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Veröffentlicht in:International journal of dermatology 1996-08, Vol.35 (8), p.594-597
Hauptverfasser: TALLAB, TALAL M., BAHAMDAM, KHALID A., MIRDAD, SOLEMAN, JOHARGI, HANAN, MOURAD, MOHAMED MAZE, IBRAHIM, KARAM, EL SHERBINI, ABDUL HAMEED, KARKASHAN, EMAN, KHARE, ASHOK KUMAR, JAMAL, AWATIF
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container_end_page 597
container_issue 8
container_start_page 594
container_title International journal of dermatology
container_volume 35
creator TALLAB, TALAL M.
BAHAMDAM, KHALID A.
MIRDAD, SOLEMAN
JOHARGI, HANAN
MOURAD, MOHAMED MAZE
IBRAHIM, KARAM
EL SHERBINI, ABDUL HAMEED
KARKASHAN, EMAN
KHARE, ASHOK KUMAR
JAMAL, AWATIF
description Background. Various therapeutic modalities have been used for treating cutaneous leishmaniasis. Intralesional pentavalent antimonial injection is one of the effective therapeutic modalities. In this study, the efficacy of three different intralesional schedules with sodium stibogluconate have been investigated. Methods. Ninety‐six patients with 129 lesions were entered into the study, all with confirmed diagnosis of cutaneous leishmaniasis. The lesions were treated with three different schedules, including daily, alternate day, and weekly interlesional injections of sodium stibogluconate. The clinical response was then compared to arrive at the most effective schedule. Results. The clinical responses (complete and partial cure) were 67%, 97%, and 91% for the daily, alternate‐day, and weekly schedules, respectively. Lesions with either partial cure or failure of treatment were injected weekly with the same medication until complete cure had been achieved. The final overall success rate of complete cure was 99.2%. Conclusions. Alternate day or weekly intralesional treatment of cutaneous leishmaniasis with sodium stibogluconate are more effective than daily treatments.
doi_str_mv 10.1111/j.1365-4362.1996.tb03669.x
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Various therapeutic modalities have been used for treating cutaneous leishmaniasis. Intralesional pentavalent antimonial injection is one of the effective therapeutic modalities. In this study, the efficacy of three different intralesional schedules with sodium stibogluconate have been investigated. Methods. Ninety‐six patients with 129 lesions were entered into the study, all with confirmed diagnosis of cutaneous leishmaniasis. The lesions were treated with three different schedules, including daily, alternate day, and weekly interlesional injections of sodium stibogluconate. The clinical response was then compared to arrive at the most effective schedule. Results. The clinical responses (complete and partial cure) were 67%, 97%, and 91% for the daily, alternate‐day, and weekly schedules, respectively. Lesions with either partial cure or failure of treatment were injected weekly with the same medication until complete cure had been achieved. The final overall success rate of complete cure was 99.2%. Conclusions. 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Various therapeutic modalities have been used for treating cutaneous leishmaniasis. Intralesional pentavalent antimonial injection is one of the effective therapeutic modalities. In this study, the efficacy of three different intralesional schedules with sodium stibogluconate have been investigated. Methods. Ninety‐six patients with 129 lesions were entered into the study, all with confirmed diagnosis of cutaneous leishmaniasis. The lesions were treated with three different schedules, including daily, alternate day, and weekly interlesional injections of sodium stibogluconate. The clinical response was then compared to arrive at the most effective schedule. Results. The clinical responses (complete and partial cure) were 67%, 97%, and 91% for the daily, alternate‐day, and weekly schedules, respectively. Lesions with either partial cure or failure of treatment were injected weekly with the same medication until complete cure had been achieved. 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BAHAMDAM, KHALID A. ; MIRDAD, SOLEMAN ; JOHARGI, HANAN ; MOURAD, MOHAMED MAZE ; IBRAHIM, KARAM ; EL SHERBINI, ABDUL HAMEED ; KARKASHAN, EMAN ; KHARE, ASHOK KUMAR ; JAMAL, AWATIF</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4364-501cc6bead8a6ec65c1e8c5b9f37c985d0803f18e5eba4d89d49f5ed3a48d02c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Antimony Sodium Gluconate - administration &amp; dosage</topic><topic>Antiprotozoal Agents - administration &amp; dosage</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Drug Administration Schedule</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Human protozoal diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Injections, Intradermal</topic><topic>Injections, Intralesional</topic><topic>Leishmaniasis, Cutaneous - drug therapy</topic><topic>Leshmaniasis</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Parasitic diseases</topic><topic>Protozoal diseases</topic><topic>Remission Induction</topic><topic>Treatment Outcome</topic><topic>Tropical medicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>TALLAB, TALAL M.</creatorcontrib><creatorcontrib>BAHAMDAM, KHALID A.</creatorcontrib><creatorcontrib>MIRDAD, SOLEMAN</creatorcontrib><creatorcontrib>JOHARGI, HANAN</creatorcontrib><creatorcontrib>MOURAD, MOHAMED MAZE</creatorcontrib><creatorcontrib>IBRAHIM, KARAM</creatorcontrib><creatorcontrib>EL SHERBINI, ABDUL HAMEED</creatorcontrib><creatorcontrib>KARKASHAN, EMAN</creatorcontrib><creatorcontrib>KHARE, ASHOK KUMAR</creatorcontrib><creatorcontrib>JAMAL, AWATIF</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of dermatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>TALLAB, TALAL M.</au><au>BAHAMDAM, KHALID A.</au><au>MIRDAD, SOLEMAN</au><au>JOHARGI, HANAN</au><au>MOURAD, MOHAMED MAZE</au><au>IBRAHIM, KARAM</au><au>EL SHERBINI, ABDUL HAMEED</au><au>KARKASHAN, EMAN</au><au>KHARE, ASHOK KUMAR</au><au>JAMAL, AWATIF</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>CUTANEOUS LEISHMANIASIS: SCHEDULES FOR INTRALESIONAL TREATMENT WITH SODIUM STIBOGLUCONATE</atitle><jtitle>International journal of dermatology</jtitle><addtitle>Int J Dermatol</addtitle><date>1996-08</date><risdate>1996</risdate><volume>35</volume><issue>8</issue><spage>594</spage><epage>597</epage><pages>594-597</pages><issn>0011-9059</issn><eissn>1365-4632</eissn><coden>IJDEBB</coden><abstract>Background. Various therapeutic modalities have been used for treating cutaneous leishmaniasis. Intralesional pentavalent antimonial injection is one of the effective therapeutic modalities. In this study, the efficacy of three different intralesional schedules with sodium stibogluconate have been investigated. Methods. Ninety‐six patients with 129 lesions were entered into the study, all with confirmed diagnosis of cutaneous leishmaniasis. The lesions were treated with three different schedules, including daily, alternate day, and weekly interlesional injections of sodium stibogluconate. The clinical response was then compared to arrive at the most effective schedule. Results. The clinical responses (complete and partial cure) were 67%, 97%, and 91% for the daily, alternate‐day, and weekly schedules, respectively. Lesions with either partial cure or failure of treatment were injected weekly with the same medication until complete cure had been achieved. The final overall success rate of complete cure was 99.2%. Conclusions. Alternate day or weekly intralesional treatment of cutaneous leishmaniasis with sodium stibogluconate are more effective than daily treatments.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>8854166</pmid><doi>10.1111/j.1365-4362.1996.tb03669.x</doi><tpages>4</tpages></addata></record>
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subjects Adolescent
Adult
Antimony Sodium Gluconate - administration & dosage
Antiprotozoal Agents - administration & dosage
Biological and medical sciences
Child
Child, Preschool
Drug Administration Schedule
Female
Follow-Up Studies
Human protozoal diseases
Humans
Infectious diseases
Injections, Intradermal
Injections, Intralesional
Leishmaniasis, Cutaneous - drug therapy
Leshmaniasis
Male
Medical sciences
Middle Aged
Parasitic diseases
Protozoal diseases
Remission Induction
Treatment Outcome
Tropical medicine
title CUTANEOUS LEISHMANIASIS: SCHEDULES FOR INTRALESIONAL TREATMENT WITH SODIUM STIBOGLUCONATE
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