脂质体两性霉素B (AmBisome)在地中海内脏利什曼病:一项多中心试验。

Quarterly Journal of Medicine Pub Date : 1994-02-01
R N Davidson, L Di Martino, L Gradoni, R Giacchino, R Russo, G B Gaeta, R Pempinello, S Scott, F Raimondi, A Cascio
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引用次数: 0

摘要

在一项多中心研究中,31例由婴儿利什曼原虫引起的内脏利什曼病(VL)患者接受了两性霉素B脂质体治疗。10例免疫功能正常的患者(6例儿童)接受1 ~ 1.38 mg/kg/天治疗,连续21天;10例(9例儿童)接受3mg /kg/天治疗,连续10天。随访12-24个月,全部治愈,无明显不良反应,无复发。11名免疫功能低下的成年人,包括7名合并感染艾滋病毒(4名合并艾滋病),每天服用100毫克(1.38-1.85毫克/公斤),持续21天。所有患者最初都被认为治愈,但其中8人在3-22个月时临床和寄生虫学复发。两性霉素B脂质体是一种安全有效的治疗VL的新药物。
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Liposomal amphotericin B (AmBisome) in Mediterranean visceral leishmaniasis: a multi-centre trial.

Thirty-one patients with visceral leishmaniasis (VL) caused by Leishmania infantum received liposomal amphotericin B (AmBisome) in a multi-centre study. Ten immunocompetent patients (six children) received 1-1.38 mg/kg/day for 21 days, and ten (nine children) received 3 mg/kg/day for 10 days. All were cured without significant adverse events and without relapse during 12-24 months of follow-up. Eleven immunocompromised adults, including seven co-infected with HIV (four with AIDS) received 100 mg (1.38-1.85 mg/kg) daily for 21 days. All were initially considered cured, but eight relapsed clinically and parasitologically at 3-22 months. Liposomal amphotericin B is a new, safe and effective drug for the treatment of VL.

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