Literature DB >> 9886195

Lack of efficacy of mefloquine in the treatment of New World cutaneous leishmaniasis in Colombia.

E P Hendrickx1, S P Agudelo, D L Munoz, J A Puerta, I D Velez Bernal.   

Abstract

In a nonblinded, therapeutic trial conducted in Colombia, 1.25-1.5 grams of mefloquine base given as a single oral dose or as 250 mg a day for 5-6 consecutive days was not efficacious in the treatment of New World cutaneous leishmaniasis. The drug had cured only 30.8 % of patients with leishmaniasis skin lesions by the 10th week after start of therapy as compared with a 27.9% complete cicatrization rate in historical controls treated with placebo tablets and an 86.3% cicatrization rate in historical controls who received meglumine antimoniate, 20 mg/ kg/day intramuscularly for 20 days, with no upper limit to daily dose. It is concluded that a single course treatment with mefloquine is not indicated as monotherapy in the treatment of Colombian cutaneous leishmaniasis primarily due to L. panamensis.

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Year:  1998        PMID: 9886195     DOI: 10.4269/ajtmh.1998.59.889

Source DB:  PubMed          Journal:  Am J Trop Med Hyg        ISSN: 0002-9637            Impact factor:   2.345


  8 in total

1.  A controlled, randomized-blinded clinical trial to assess the efficacy of a nitric oxide releasing patch in the treatment of cutaneous leishmaniasis by Leishmania (V.) panamensis.

Authors:  Patricio López-Jaramillo; Melvin Y Rincón; Ronald G García; Sandra Y Silva; Erin Smith; Piyaporn Kampeerapappun; Carlos García; Daniel J Smith; Marcos López; Iván D Vélez
Journal:  Am J Trop Med Hyg       Date:  2010-07       Impact factor: 2.345

2.  Efficacy of miltefosine for the treatment of American cutaneous leishmaniasis.

Authors:  Iván Vélez; Liliana López; Ximena Sánchez; Laureano Mestra; Carlos Rojas; Erwin Rodríguez
Journal:  Am J Trop Med Hyg       Date:  2010-08       Impact factor: 2.345

3.  Diagnosis of cutaneous leishmaniasis in Colombia: the sampling site within lesions influences the sensitivity of parasitologic diagnosis.

Authors:  J R Ramírez; S Agudelo; C Muskus; J F Alzate; C Berberich; D Barker; I D Velez
Journal:  J Clin Microbiol       Date:  2000-10       Impact factor: 5.948

4.  Thermotherapy. An alternative for the treatment of American cutaneous leishmaniasis.

Authors:  Liliana López; Martha Robayo; Margarita Vargas; Iván D Vélez
Journal:  Trials       Date:  2012-05-17       Impact factor: 2.279

5.  Double blind, randomized controlled trial, to evaluate the effectiveness of a controlled nitric oxide releasing patch versus meglumine antimoniate in the treatment of cutaneous leishmaniasis [NCT00317629].

Authors:  Sandra Y Silva; Ligia C Rueda; Marcos López; Iván D Vélez; Christian F Rueda-Clausen; Daniel J Smith; Gerardo Muñoz; Hernando Mosquera; Federico A Silva; Adriana Buitrago; Holger Díaz; Patricio López-Jaramillo
Journal:  Trials       Date:  2006-05-15       Impact factor: 2.279

6.  Species-directed therapy for leishmaniasis in returning travellers: a comprehensive guide.

Authors:  Caspar J Hodiamont; Piet A Kager; Aldert Bart; Henry J C de Vries; Pieter P A M van Thiel; Tjalling Leenstra; Peter J de Vries; Michèle van Vugt; Martin P Grobusch; Tom van Gool
Journal:  PLoS Negl Trop Dis       Date:  2014-05-01

Review 7.  The Cure Rate after Placebo or No Therapy in American Cutaneous Leishmaniasis: A Systematic Review and Meta-Analysis.

Authors:  Gláucia Fernandes Cota; Marcos Roberto de Sousa; Tatiani Oliveira Fereguetti; Priscila Said Saleme; Thais Kawagoe Alvarisa; Ana Rabello
Journal:  PLoS One       Date:  2016-02-19       Impact factor: 3.240

8.  Interventions for American cutaneous and mucocutaneous leishmaniasis.

Authors:  Mariona Pinart; José-Ramón Rueda; Gustavo As Romero; Carlos Eduardo Pinzón-Flórez; Karime Osorio-Arango; Ana Nilce Silveira Maia-Elkhoury; Ludovic Reveiz; Vanessa M Elias; John A Tweed
Journal:  Cochrane Database Syst Rev       Date:  2020-08-27
  8 in total

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