Oral Miltefosine for Indian Visceral Leishmaniasis
Author(s) -
Shyam Sundar,
T. K. Jha,
C.P. Thakur,
Juergen Engel,
H. Sindermann,
Christina Fischer,
Klaus Junge,
A.D.M. Bryceson,
Jonathan Berman
Publication year - 2002
Publication title -
new england journal of medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 19.889
H-Index - 1030
eISSN - 1533-4406
pISSN - 0028-4793
DOI - 10.1056/nejmoa021556
Subject(s) - miltefosine , medicine , visceral leishmaniasis , leishmaniasis , amphotericin b , surgery , gastroenterology , sodium stibogluconate , vomiting , dermatology , immunology , antifungal
There are 500,000 cases per year of visceral leishmaniasis, which occurs primarily in the Indian subcontinent. Almost all untreated patients die, and all the effective agents have been parenteral. Miltefosine is an oral agent that has been shown in small numbers of patients to have a favorable therapeutic index for Indian visceral leishmaniasis. We performed a clinical trial in India comparing miltefosine with the most effective standard treatment, amphotericin B.
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