| Central nervous system toxicity associated with liposomal amphotericin B therapy for cutaneous leishmaniasis. | |
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MedLine Citation:
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PMID: 21460011 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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AmBisome (liposomal amphotericin B) is used for prophylaxis and treatment of fungal infections, treatment of visceral leishmaniasis, and more recently, treatment of cutaneous leishmaniasis. Although the package insert cites neurologic toxicities in up to 20% of cases, review of the literature did not reveal any specific cases describing this side effect, particularly in a patient without comorbidities. We describe a healthy 38-year-old male treated with liposomal amphotericin B for cutaneous leishmaniasis acquired during military duties in Iraq. Shortly after completion of his treatment course, he reported memory difficulties and confusion. Further evaluation revealed no other source, and his cognitive issues were attributed to liposomal amphotericin B toxicity. These issues resolved over a few weeks, which is consistent with data about the drug's tissue penetration and metabolism available in the literature. This is a potential side effect of liposomal amphotericin B that can be observed in otherwise healthy patients. |
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Authors:
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Jessie S Glasser; Clinton K Murray |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The American journal of tropical medicine and hygiene Volume: 84 ISSN: 1476-1645 ISO Abbreviation: Am. J. Trop. Med. Hyg. Publication Date: 2011 Apr |
Date Detail:
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Created Date: 2011-04-04 Completed Date: 2011-06-07 Revised Date: 2012-09-24 |
Medline Journal Info:
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Nlm Unique ID: 0370507 Medline TA: Am J Trop Med Hyg Country: United States |
Other Details:
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Languages: eng Pagination: 566-8 Citation Subset: AIM; IM |
Affiliation:
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US Infectious Disease Service, Brooke Army Medical Center, 3851 Roger Brooke Drive, Fort Sam Houston, TX 78234, USA. Jessie.glasser@amedd.army.mil |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Amphotericin B / adverse effects*, therapeutic use* Antiprotozoal Agents / adverse effects, therapeutic use Confusion / chemically induced* Humans Leishmaniasis, Cutaneous / drug therapy* Male Memory Disorders / chemically induced* |
| Chemical | |
Reg. No./Substance:
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0/Antiprotozoal Agents; 0/liposomal amphotericin B; 1397-89-3/Amphotericin B |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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