Liposomal formulation of amphotericin B for the treatment of mucosal leishmaniasis in HIV-negative patients

Trans R Soc Trop Med Hyg. 2014 Mar;108(3):176-8. doi: 10.1093/trstmh/tru011.

Abstract

Background: Studies assessing the efficacy of liposomal amphotericin B (LAB) in the treatment of patients with mucosal leishmaniasis (ML) are very scarce in the literature and an optimal dose regimen has not yet been defined.

Methods: We performed a retrospective and descriptive analysis from records of 16 patients with ML treated with LAB. The mean daily dose of LAB was 2.5 mg/kg/day.

Results: Healing of the lesion was observed in 14 (88%) of the 16 patients. The mean cumulative doses, excluding the two treatment failures, were 2265 mg and 33 mg/kg.

Conclusion: Liposomal amphotericin B in the cumulative dose of 30 to 35 mg/kg was able to achieve 100% effectiveness.

Keywords: Amphotericin B; Leishmania treatment; Leishmaniasis.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Amphotericin B / therapeutic use*
  • Antiprotozoal Agents / therapeutic use*
  • Dose-Response Relationship, Drug
  • Female
  • Humans
  • Leishmaniasis, Mucocutaneous / drug therapy*
  • Male
  • Middle Aged
  • Retrospective Studies

Substances

  • Antiprotozoal Agents
  • liposomal amphotericin B
  • Amphotericin B