Transactions of the Royal Society of Tropical Medicine and Hygiene

نویسندگان

  • Martin Balzan
  • Frederick Fenech
چکیده

Introduction Visceral and cutaneous leishmaniasis are endemic in the Maltese islands. Leishmania infantum has been cultured from humans, dogs and the sandfly PhZebotomus perniciosus (GRADONI et al., 1991). Since 1955 the incidence of leishmaniasis has been about 10 local new cases per year compared with about 150 cases per year in the immediate post-war period (CACHIA & FENECH, 1964; Ministry of Health, Malta, unpublished reports). Parenteral sodium stibogluconate is still the standard treatment for leishmaniasis, despite considerable renal and cardiac toxicity (WHO, 1984). We report a case of visceral leishmaniasis with acute renal failure associated with the use of this drug, followed by successful treatment with a prolonged course of metronidazole.

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تاریخ انتشار 2003