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SAS Journal of Medicine | Volume-4 | Issue-12
Side Effects of Systemic Treatment of Cutaneous Leishmaniasis by Glucantime®: Moroccan Experience
Nadia Baali, Nadia Akhdari, Ouafa Hocar, Said Amal
Published: Dec. 30, 2018 |
224
169
DOI: 10.21276/sasjm.2018.4.12.5
Pages: 222-224
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Abstract
Glucantime® is the standard treatment for cutaneous leishmaniasis in
Morocco. The purpose of our study was to specify the adverse effects of systemic
Glucantim, prescribed for cutaneous leishmaniasis. This is a retrospective study,
conducted within the Department of Dermatology of the University Hospital Mohamed
VI Marrakesh - Morocco over a period of 13 years, from January 2003 to June 2016.
All hospitalized cases for cutaneous leishmaniasis were included and treated by
Glucantime® at the dose of 20mg / kg / day for 10 to 15 days intramuscularly. The side
effects of Glucantime®, a type of stibo-intolerance accident, occurred in 8 patients,
21% of Glucantime intramuscular treatments. The predominant skin reactions were
inflammatory erythematous placards (37.5%), generalized pruriginous skin rash
(12.5%) and arthro-myalgia (12.5%). The time of onset of these adverse effects varies
from 1 to 14 days after the start of treatment. No cases of renal failure or cardiac
disorders have been reported. In our series, we did not notice any serious side effects;
however, the occurrence of these is possible and urges us to institute strict surveillance
especially in elderly and fussy subjects.