title: Intralesional meglumine antimoniate for the treatment of localised cutaneous leishmaniasis: a retrospective review of a Brazilian referral centre.
abstract: Although intralesional meglumine antimoniate (MA) infiltration is considered an option for cutaneous leishmaniasis (CL) therapy and is widely used in the Old World, there have been few studies supporting this therapeutic approach in the Americas. This study aims to describe outcomes and adverse events associated with intralesional therapy for CL. This retrospective study reviewed the experience of a Brazilian leishmaniasis reference centre using intralesional MA to treat 31 patients over five years (2008 and 2013). The median age was 63 years (22-86) and the median duration time of the lesions up to treatment was 16 weeks. In 22 patients (71%), intralesional therapy was indicated due to the presence of contraindications or previous serious adverse events with systemic MA. Other indications were failure of systemic therapy or ease of administration. Intralesional treatment consisted of one-six infiltrations (median three) for a period of up to 12 weeks. The initial (three months) and definitive (six months) cure rates were 70.9% and 67.7%, respectively. Most patients reported mild discomfort during infiltration and no serious adverse events were observed. In conclusion, these results show that the intralesional MA efficacy rate was very similar to that of systemic MA treatment, and reinforce the need for further studies with adequate design to establish the efficacy and safety of this therapeutic approach.
authors: Fundação Oswaldo Cruz, Centro de Pesquisas René Rachou, Centro de Referência em Leishmanioses, Pesquisas Clínicas e Políticas Públicas em Doenças Infecto-Parasitárias, Belo Horizonte, MG, Brasil.
authors: Rosiana Estéfane da
authors: RE
authors: Silva
authors: Universidade José do Rosário Vellano, Faculdade de Medicina, Belo Horizonte, MG, Brasil.
authors: Antonio
authors: A
authors: Toledo
authors: Fundação Oswaldo Cruz, Centro de Pesquisas René Rachou, Centro de Referência em Leishmanioses, Pesquisas Clínicas e Políticas Públicas em Doenças Infecto-Parasitárias, Belo Horizonte, MG, Brasil.
authors: Maria Camilo
authors: MC
authors: Senna
authors: Fundação Oswaldo Cruz, Centro de Pesquisas René Rachou, Centro de Referência em Leishmanioses, Pesquisas Clínicas e Políticas Públicas em Doenças Infecto-Parasitárias, Belo Horizonte, MG, Brasil.
authors: Ana
authors: A
authors: Rabello
authors: Fundação Oswaldo Cruz, Centro de Pesquisas René Rachou, Centro de Referência em Leishmanioses, Pesquisas Clínicas e Políticas Públicas em Doenças Infecto-Parasitárias, Belo Horizonte, MG, Brasil.
authors: Gláucia
authors: G
authors: Cota
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000981:Antiprotozoal Agents / Q000008:administration & dosage* / Q000009:adverse effects; D005260:Female; D006801:Humans; D015552:Injections, Intralesional; D016773:Leishmaniasis, Cutaneous / Q000188:drug therapy* / Q000473:pathology; D008297:Male; D008536:Meglumine / Q000008:administration & dosage* / Q000009:adverse effects; D000077485:Meglumine Antimoniate; D008875:Middle Aged; D009942:Organometallic Compounds / Q000008:administration & dosage* / Q000009:adverse effects; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D000981:Antiprotozoal Agents; D009942:Organometallic Compounds; D008536:Meglumine; D000077485:Meglumine Antimoniate