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Gaceta Médica Boliviana

Print version ISSN 1012-2966On-line version ISSN 2227-3662


ROJAS CABRERA, Ernesto et al. Combined treatment of mucocutaneous Leishmaniasis after therapeutic failure with conventional treatment, case report. Gac Med Bol [online]. 2017, vol.40, n.1, pp.46-48. ISSN 1012-2966.

The mucocutaneous leishmaniasis, clinically are lesions at level of oropharynx, larynx, and nose. The first election drugs for treatment of this type of leishmaniasis are the pentavalent antimony compounds although, with variable efficacy. The absence of effect of antimony compounds promotes the use of other drugs as a second election. However, in all cases there is the possibility of failure of the therapy. This report shows the clinical remission of mucocutaneous lesions using a combined treatment of antimony, miltefosine, and itraconazole together with zinc as nutritional supplement in one patient with the antecedent of therapeutic failure to different therapies. The remission of the disease achieved at end of the therapy probably is the result of simultaneous lytic action of drugs used, and also to the restoration of immune response of the patient. In conclusion, the patient didn’t show any relapse in five years after intervention and he was considered clinically cured.

Keywords : Leishmaniasis; therapeutic failure; zinc.

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