TREATMENT OF AMERICAN TEGUMENTARY LEISHMANIOSIS WITH FLUCONAZOLE: CASE REPORT

Conteúdo do artigo principal

Kauane Mayra de Oliveira Xavier
Rainardo Antônio Puster
Hermes Melo Teixeira Batista
Jorge Luiz Nobre Rodrigues

Resumo

Abstract: Leishmaniasis are diseases caused by protozoan parasites of the Leishmania genus, seen as a major public and social health problem, they represent a complex of diseases with different clinical presentations. Pentavalent antimonial drugs are the first choice in their treatment, however, this medications have disadvantages, such as the application and risks attributed to the toxicity. In this context, therapeutic options that present a suitable intake and satisfactory results are studied. The authors present a clinical case of American cutaneous leishmaniasis in a male patient, 89 years old, with cutaneous lesions on the nasal dorsum and on the left infraorbital margin, after the diagnosis, therapy with oral fluconazole was started, thus improving the disease. Oral triazole antifungals are a controversial topic in cutaneous leishmaniasis, even so, the use of oral fluconazole can be considered in patients with skin lesions, especially in patients susceptible to the greater possibility of complications due to side effects of pentavalent antimonial drugs.                   

 

Keywords: American Cutaneous Leishmaniasis. Fluconazole. Public health.

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Xavier, K. M. de O., Puster, R. A., Batista, H. M. T., & Rodrigues, J. L. N. (2020). TREATMENT OF AMERICAN TEGUMENTARY LEISHMANIOSIS WITH FLUCONAZOLE: CASE REPORT. Amadeus International Multidisciplinary Journal, 5(9), 294–301. https://doi.org/10.14295/aimj.v5i9.149
Seção
Case Report
Biografia do Autor

Kauane Mayra de Oliveira Xavier, Universidade Federal do Ceará

1 Médica residente do programa de Clínica Médica pela Universidade Federal do Ceará – Hospital Universitário Walter Cantídio (HUWC). E-mail: kauanexavier@yahoo.com.br.

Rainardo Antônio Puster, Hospital Universitário Walter Cantídio da UFC

2 Orientador. Preceptor e vice-supervisor do Programa de Clínica Médica do Hospital Universitário Walter Cantídio da UFC. E-mail: rainardopuster@gmail.com;

Hermes Melo Teixeira Batista, Faculdade de Medicina de Araripina FAP

3 Doutor em Ciências da Saúde pela FMABC. Professor da Faculdade de Medicina de Araripina FAP;

Jorge Luiz Nobre Rodrigues, Hospital Universitário Walter Cantídio da UFC

4 Doutor em Doenças Infecciosas e Parasitárias pela Escola Paulista de Medicina. Preceptor do Programa de Infectologia do Hospital Universitário Walter Cantídio da UFC. E-mail: jorge1207@gmail.com.

 

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