Short term treatment of visceral leishmaniasis of the old world with low dose interferon gamma and pentavalent antimony

作者: J. van Lunzen , J. Schmitz , J. Brazoska , Sabine Flessenkämper , M. Dietrich

DOI: 10.1007/BF01728914

关键词:

摘要: Eight adult patients with visceral leishmaniasis acquired in mediterranean countries were treated a prospective study combined immunomodulating and antiparasitic regimen consisting of low-dose interferon-gamma (IFN-gamma) pentavalent antimony. The clinical outcome, hematological parasitological parameters, the duration treatment number cycles as well cumulative dose antimony applied, have been evaluated. led to complete resolution symptoms cure all cases without major side effects. Combined resulted significant reduction (19 vs. 31 days, p<0.02) (11.67 19.30 g, compared historical controls (n=6). No relapses occurred after median follow-up 9 months (range: 2–28 months). We conclude that combination therapy is tolerated highly effective leishmaniasis. addition IFN-gamma standard may reduce antimonial drugs, shortens period probably reduces relapses.

参考文章(34)
A D Bryceson, M Ho, D W Iha, D K Koech, Immunosuppression in Kenyan visceral leishmaniasis. Clinical and Experimental Immunology. ,vol. 51, pp. 207- ,(1983)
P. D. Marsden, T. C. Jones, R.S. Bray, K.P. Chang, Clinical manifestations, diagnosis and treatment of leishmaniasis. Leishmaniasis. (Human Parasitic Diseases Vol.1.). pp. 183- 198 ,(1985)
J. Brzoska, H.-J. Obert, Immunomodulating Effects of Interferons: Conclusions for Therapy Genital Papillomavirus Infections. pp. 379- 391 ,(1990) , 10.1007/978-3-642-75723-5_28
C F Nathan, G L Spitalny, H W Murray, Activation of mouse peritoneal macrophages in vitro and in vivo by interferon-gamma. Journal of Immunology. ,vol. 134, pp. 1619- 1622 ,(1985)
E M Carvalho, R S Teixeira, W D Johnson, Cell-mediated immunity in American visceral leishmaniasis: reversible immunosuppression during acute infection. Infection and Immunity. ,vol. 33, pp. 498- 500 ,(1981) , 10.1128/IAI.33.2.498-500.1981
N. E. Reiner, W. Ng, T. Ma, W. R. McMaster, Kinetics of gamma interferon binding and induction of major histocompatibility complex class II mRNA in Leishmania-infected macrophages Proceedings of the National Academy of Sciences of the United States of America. ,vol. 85, pp. 4330- 4334 ,(1988) , 10.1073/PNAS.85.12.4330
P.L. Olliaro, A.D.M. Bryceson, Practical progress and new drugs for changing patterns of leishmaniasis. Parasitology Today. ,vol. 9, pp. 323- 328 ,(1993) , 10.1016/0169-4758(93)90231-4