Adverse systemic reaction to benznidazole

Rev Soc Bras Med Trop. 2017 Jan-Feb;50(1):145-147. doi: 10.1590/0037-8682-0071-2016.

Abstract

Benznidazole, drug of choice for Chagas disease (CD), has been associated with a high incidence of adverse reactions that can become serious, necessitating discontinuation of the drug. We describe the case of a Bolivian patient living in Spain for 9 years, who, following treatment with benznidazole for CD in indeterminate chronic phase, presented with fever, skin lesions, digestive symptoms, general malaise, and laboratory abnormalities. After the discontinuation of benznidazole and, the intake of antihistamines and systemic corticosteroids, the patient presented a complete resolution of the symptoms. Optimization of dose strategies and development of more effective, and better-tolerated drugs is advisable.

Publication types

  • Case Reports

MeSH terms

  • Chagas Disease / drug therapy
  • Drug-Related Side Effects and Adverse Reactions*
  • Female
  • Humans
  • Middle Aged
  • Nitroimidazoles / adverse effects*
  • Nitroimidazoles / therapeutic use
  • Trypanocidal Agents / adverse effects*
  • Trypanocidal Agents / therapeutic use

Substances

  • Nitroimidazoles
  • Trypanocidal Agents
  • benzonidazole