Dynamics of Parasite Clearance in Cutaneous Leishmaniasis Patients Treated with Miltefosine

被引:26
作者
Dorlo, Thomas P. C. [1 ,2 ]
van Thiel, Pieter P. A. M. [1 ]
Schoone, Gerard J. [3 ]
Stienstra, Ymkje [1 ]
van Vugt, Michele [1 ]
Beijnen, Jos H. [2 ]
de Vries, Peter J. [1 ]
机构
[1] Univ Amsterdam, Acad Med Ctr, Div Infect Dis, NL-1105 AZ Amsterdam, Netherlands
[2] Slotervaart Hosp, Netherlands Canc Inst, Dept Pharm & Pharmacol, Amsterdam, Netherlands
[3] Royal Trop Inst, KIT Biomed Res, Parasitol Unit, NL-1105 AZ Amsterdam, Netherlands
关键词
VISCERAL LEISHMANIASIS; CLINICAL-TRIAL; QUANTIFICATION; AMPLIFICATION; SEQUENCE; PCR;
D O I
10.1371/journal.pntd.0001436
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Parasite loads were quantified in repeated skin biopsies from lesions of 2 patients with Old-World cutaneous leishmaniasis (CL) caused by Leishmania major and L. infantum during and after treatment with miltefosine. Miltefosine induced a rapid therapeutic effect on both infections with an initial decline of parasites of similar to 1 log/week for the L. major infection. These observations illustrate the usability of quantifying parasite loads in skin lesions as a pharmacodynamic measure and quantitative descriptor of drug effect for CL supporting clinical assessment.
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页数:5
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