Acute uveitis: A rare adverse effect of miltefosine in the treatment of post-kala-azar dermal leishmaniasis

Rev Soc Bras Med Trop. 2020 Dec 21:54:e20200208. doi: 10.1590/0037-8682-0208-2020. eCollection 2020.

Abstract

Post-kala-azar dermal leishmaniasis is a skin disorder occurring in 5-10% of visceral leishmaniasis patients after treatment with miltefosine,the first-line drug for this skin disorder. We reported a case of acute anterior uveitis,a rare adverse effect, experienced by a patient treated with miltefosine for post-kala-azar dermal leishmaniasis. This adverse effect developed after 15 days of miltefosine consumption, and the patient himself discontinued the treatment. The ophthalmic complication was completely resolved with antibiotics and steroid eye drops. After recovery from the ophthalmic complication, the patient was successfully treated with liposomal amphotericin B for the skin lesions.

Publication types

  • Case Reports

MeSH terms

  • Antiprotozoal Agents* / adverse effects
  • Humans
  • Leishmaniasis, Cutaneous* / drug therapy
  • Leishmaniasis, Visceral* / complications
  • Leishmaniasis, Visceral* / drug therapy
  • Phosphorylcholine / analogs & derivatives
  • Uveitis* / chemically induced
  • Uveitis* / drug therapy

Substances

  • Antiprotozoal Agents
  • Phosphorylcholine
  • miltefosine