AJTMH Transactions of the Royal Society of Tropical Medicine and Hygiene
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Am. J. Trop. Med. Hyg., 66(2), 2002, pp. 143-146
Copyright © 2002 by The American Society of Tropical Medicine and Hygiene

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Right arrow Leishmaniasis
American Journal of Tropical Medicine and Hygiene, Vol 66, Issue 2, 143-146
Copyright © 2002 by American Society of Tropical Medicine and Hygiene

Research Articles


Low-dose liposomal amphotericin B in refractory Indian visceral leishmaniasis: a multicenter study

S Sundar, TK Jha, CP Thakur, M Mishra, VR Singh, and R Buffels

In this randomized, double-blind, dose-ranging, multicenter trial, 84 patients with visceral leishmaniasis refractory to antimony therapy were administered liposomal amphotericin B (AmBisome) at cumulative doses of 3.75, 7.5, and 15.0 mg/kg for 5 consecutive days. Posttreatment apparent cure and definite cure were assessed at 2 weeks and 6 months after the end of therapy, respectively. Mild to moderate infusion-related fever and rigors were seen in 29 and 44% of patients, respectively. One patient each in the 3.75- and 7.5-mg groups had detectable parasites on splenic smear at posttreatment evaluation. At 6 months' follow-up, however, 2, 1, and 1 patients relapsed in the 3.75-, 7.5-, and 15.0-mg groups, resulting in definite cure rates of 89, 93, and 97%, respectively. There was no significant difference in the cure rates of the 3 groups. Low-dose liposomal amphotericin B given for 5 days can cure most patients with Indian kala-azar.


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