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Monitoring the response of patients with cutaneous leishmaniasis to treatment with pentamidine isethionate by quantitative real-time PCR, and identification of Leishmania parasites not responding to therapy.
Author: AdamsE R, AlbaS, HuR V, KentA D, Lai A FatE J, Lai A FatR F, MansD R A, RoodE J, SabajoL O A, SchalligH D F H, SchooneG J, de VriesH J C
Original Abstract of the Article :
BACKGROUND: Leishmania (Viannia) guyanensis is believed to be the principal cause of cutaneous leishmaniasis (CL) in Suriname. This disease is treated with pentamidine isethionate (PI), but treatment failure has increasingly been reported. AIM: To evaluate PI for its clinical efficacy, to compare p...See full text at original site
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引用元:
https://doi.org/10.1111/ced.12786
データ提供:米国国立医学図書館(NLM)
Monitoring the Response to Pentamidine Isethionate Treatment for Cutaneous Leishmaniasis
This study, like a camel caravan traveling through a region susceptible to disease outbreaks, explores the [treatment of cutaneous leishmaniasis (CL)] with [pentamidine isethionate (PI)]. The researchers aimed to [evaluate the clinical efficacy of PI], monitor [parasite load], and assess the possibility of treatment failure due to different infecting [Leishmania] species. They conducted a study involving patients with CL in Suriname, where [Leishmania (Viannia) guyanensis] is the dominant infecting species.
PI: A Valuable Tool for Cutaneous Leishmaniasis Treatment
This study, like a well-equipped oasis, provides valuable insights into the treatment of CL. The researchers found that PI was effective in [significantly decreasing parasite counts] and achieved a cure rate of approximately [75%] in patients infected with L. (V.) guyanensis. This finding underscores the importance of early diagnosis and appropriate treatment for CL.
Navigating Treatment Failure and Identifying Resistant Species
The study, like a compass guiding travelers through a challenging landscape, highlights the importance of [monitoring parasite load] and [identifying resistant species] to ensure optimal treatment outcomes. The researchers observed that [treatment failure] was associated with infections by other Leishmania species, including [L. (Viannia) braziliensis, Leishmania (Leishmania) amazonensis, and L. (V.) guyanensis]. This emphasizes the need for comprehensive diagnostic testing and tailored treatment strategies for patients with CL.
Dr. Camel's Conclusion
This research provides valuable insights into the use of PI for the treatment of CL, highlighting its effectiveness in decreasing parasite counts and achieving cure in a significant number of patients. The study also underscores the importance of monitoring parasite load and identifying resistant species to ensure optimal treatment outcomes. As a seasoned traveler of the medical desert, I encourage further research into the development of effective treatment strategies for CL, particularly for patients infected with resistant species.
Date :
- Date Completed 2018-02-09
- Date Revised 2018-02-09
Further Info :
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