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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
8937
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pubmed:dateCreated |
1995-1-5
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pubmed:abstractText |
Patients do not always respond to treatment of visceral leishmaniasis with pentavalent antimony, and the drug has toxic effects. Amphotericin B might be useful as an alternative first-line treatment for the disease. We compared the efficacy of amphotericin and sodium stibogluconate in a prospective randomised trial in 80 uncomplicated and parasitologically confirmed cases of Indian kala-azar. None of the patients had received an antileishmanial agent before. Sodium stibogluconate was given at 20 mg/kg in two divided doses daily for 40 days, and amphotericin in fourteen doses of 0.5 mg/kg infused in 5% dextrose on alternate days. All 40 patients randomised to amphotericin were cured; of the 40 patients assigned to sodium stibogluconate, 28 (70%) showed initial cure and 25 (62.5%) showed definitive cure (p < 0.001). With amphotericin, there was quicker abatement of fever and more complete spleen regression with no serious adverse effects. Amphotericin is effective in the first-line treatment of Indian kala-azar and superior to antimony therapy.
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pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
0140-6736
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
10
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pubmed:volume |
344
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1599-600
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:7983993-Adult,
pubmed-meshheading:7983993-Amphotericin B,
pubmed-meshheading:7983993-Antimony Sodium Gluconate,
pubmed-meshheading:7983993-Drug Administration Schedule,
pubmed-meshheading:7983993-Female,
pubmed-meshheading:7983993-Humans,
pubmed-meshheading:7983993-India,
pubmed-meshheading:7983993-Leishmaniasis, Visceral,
pubmed-meshheading:7983993-Male,
pubmed-meshheading:7983993-Treatment Outcome
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pubmed:year |
1994
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pubmed:articleTitle |
Amphotericin versus sodium stibogluconate in first-line treatment of Indian kala-azar.
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pubmed:affiliation |
Darbhanga Medical College and Hospital, Bihar, India.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial
|