Oral Pentoxifylline Combined with Pentavalent Antimony: A Randomized Trial for Mucosal Leishmaniasis
Author(s) -
Pablo Machado,
Hélio A. Lessa,
Marcus Miranda Lessa,
Luiz Henrique Guimarães,
Heejung Bang,
John L. Ho,
Edgar M. Carvalho
Publication year - 2007
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1086/511643
Subject(s) - pentoxifylline , medicine , placebo , gastroenterology , refractory (planetary science) , randomized controlled trial , cutaneous leishmaniasis , chemotherapy , surgery , clinical trial , leishmaniasis , immunology , pathology , physics , alternative medicine , astrobiology
Mucosal leishmaniasis is associated with intense tissue damage and high tumor necrosis factor-alpha production. Therapeutic failure occurs in up to 42% of cases; patients who experience treatment failure will require >1 pentavalent antimony (Sb(v)) course or alternative drugs to achieve a cure. We previously showed that an inhibitor of tumor necrosis factor-alpha (pentoxifylline) combined with Sb(v) cured 90% patients refractory to monotherapy with Sb(v).
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