[Leish-l] CDL Bolivia

[queiroz.telles at uol.com.br]

Dear Eddy
I am in the State of Parana, South Brazilian region, where Mucocutaneus Leishmaniosis is still scarcely endemic.  The few cases (2), we attend where imported from Amazon, many years ago. The patients received convention therapy with glucantime and gama interferon, with partial response. We have a little experience in mucocutaneous LTA with miltefosine, supplied by the Brazilian Ministry of Health, under a special protocol, with good clinical response.
Best regards
Flavio Queiroz-Telles
Department of Public Health
Federal University of Parana, Brazil

De: leish-l-bounces at lineu.icb.usp.br <leish-l-bounces at lineu.icb.usp.br> em nome de Eddy.Martinez at uv.es <Eddy.Martinez at uv.es>
Data: sexta-feira, 26 de maio de 2023 17:55
Para: Leish-l at lineu.icb.usp.br <Leish-l at lineu.icb.usp.br>
Cc: pduran at umsa.bo <pduran at umsa.bo>
Assunto: [Leish-l] CDL Bolivia
DCL Bolivia

Dear Leishmaniacs,
I have in Bolivia two patients with severe Diffuse Cutaneous Leishmaniasis (DCL) with partial healing after several series of treatment with antimonials (Glucantime) and subsequent reactivation, one of these additionally received liposomal amphotericin without results. I want to try combination treatment with antimonials + miltefosine. Interestingly, both patients are in good general condition and I think the treatment can be effective.
Unfortunately, in Bolivia, we do not have miltefosine available and I need your help with this drug.
Could any of you help me?
If your help is possible or if you have suggestion for these cases, please send me these to this group or to my address eddy.martinez at umsalud.edu.bo

I hope that your help is possible
Many thanks in advance. Sincerely

Eddy Martinez
Bolivian leishmaniac

Estimados Leishmaniacos,
Tengo dos pacientes con Leishmaniasis Cutánea Difusa (LCD) severa con curación parcial después de varias series de tratamiento con antimoniales (Glucantime) y posterior reactivación, uno de estos recibió adicionalmente anfotericina liposomal sin resultados. Quiero probar el tratamiento combinado con antimoniales + miltefosina. Interesantemente, ambos pacientes están en buen estado general y creo que el tratamiento puede ser efectivo.
Desafortunadamente, en Bolivia, no tenemos miltefosina disponible y necesito su ayuda con este medicamento. ¿Podría alguno de ustedes ayudarme?
Si su ayuda es posible o si tienen sugerencias para estos casos, por favor envíenme estas a esta red o a mi dirección eddy.martinez at umsalud.edu.bo

Tengo la esperanza de que su ayuda sea posible.
Muchas gracias de antemano.
Atentamente,

Eddy Martínez
Leishmaniaco boliviano

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