A rare case of Visceral leishmaniasis with multiple relapse and multi-drug unresponsive: successfully treated with combination therapy.

Abstract:

CASE:We report a 32-year old relapse case of Visceral leishmaniasis, treated with Paromomycin who belonged from a endemic zone of Bihar state, India. After confirmation, he was treated with Amphotericin B, followed by Liposomal Amphotericin B in full course and even in higher dose. But after each therapy, the patient either did not responded or relapsed after treatment. Ultimately, the patient was successfully treated with combination therapy of Liposomal amphotericin B and Miltefosine without any relapse. CONCLUSION:The multi-drug unresponsive Visceral leishmaniasis cases could pose a major threat to treatment strategy in the elimination program. In such situation, combination therapy seems to be a better approach that needs to be explored.

journal_name

Int J Clin Pharm

authors

Kumar N,Sinha PK,Pandey K,Verma N,Lal CS,Ranjan A,Verma RB,Das P

doi

10.1007/s11096-011-9544-8

subject

Has Abstract

pub_date

2011-10-01 00:00:00

pages

726-9

issue

5

eissn

2210-7703

issn

2210-7711

journal_volume

33

pub_type

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