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Miltefosine Rescue Treatment for Visceral Leishmaniasis Relapse Patient
Joint Authors
Bastola, Anup
Shrestha, Mitesh
Chalise, Bimal Sharma
Mishra, Abhdesh Kumar
Devkota, Lina
Source
Case Reports in Infectious Diseases
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-09-03
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
We report the first case of miltefosine rescue treatment carried out for visceral leishmaniasis (VL) relapse patient.
Despite undergoing treatment regimens of liposomal amphotericin B (LAMB) 5 mg/kg (standard: 10 mg/kg) daily for 3 days during the first episode followed by LAMB 5 mg/kg stat and paromomycin 15 mg/kg IM for 10 days against the second episode, the patient suffered from a third relapse and was eventually treated with miltefosine 50 mg BID directly observed treatment for 28 days.
Prior to treatment, the patient had a history of intermittent fever and vague abdominal pain for one week and epistaxis for 4 days.
He had massive splenomegaly, tested positive for the rK39 test, and showed LD bodies in bone marrow aspirate.
The patient tested negative for malaria and HIV.
Upon treatment completion with miltefosine, the patient had clinically improved and showed no LD bodies in bone marrow.
American Psychological Association (APA)
Bastola, Anup& Shrestha, Mitesh& Chalise, Bimal Sharma& Mishra, Abhdesh Kumar& Devkota, Lina. 2019. Miltefosine Rescue Treatment for Visceral Leishmaniasis Relapse Patient. Case Reports in Infectious Diseases،Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1136977
Modern Language Association (MLA)
Bastola, Anup…[et al.]. Miltefosine Rescue Treatment for Visceral Leishmaniasis Relapse Patient. Case Reports in Infectious Diseases No. 2019 (2019), pp.1-4.
https://search.emarefa.net/detail/BIM-1136977
American Medical Association (AMA)
Bastola, Anup& Shrestha, Mitesh& Chalise, Bimal Sharma& Mishra, Abhdesh Kumar& Devkota, Lina. Miltefosine Rescue Treatment for Visceral Leishmaniasis Relapse Patient. Case Reports in Infectious Diseases. 2019. Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1136977
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1136977