High frequency of skin reactions in patients with leishmaniasis treated with meglumine antimoniate contaminated with heavy metals: a comparative approach using historical controls

We analyzed data from historical controls treated with meglumine antimoniate to compare the frequency of adverse events observed in patients with cutaneous leishmaniasis treated with the same dose of meglumine antimoniate contaminated with heavy metals in an endemic area of the State of Bahia, Brazi...

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Main Authors: Gustavo Adolfo Sierra Romero, Érico Marlon de Moraes Flores, Elza Ferreira Noronha, Vanize de Oliveira Macêdo
Format: Article
Language:English
Published: Fundação Oswaldo Cruz (FIOCRUZ) 2003-01-01
Series:Memorias do Instituto Oswaldo Cruz
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762003000100019
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author Gustavo Adolfo Sierra Romero
Érico Marlon de Moraes Flores
Elza Ferreira Noronha
Vanize de Oliveira Macêdo
author_facet Gustavo Adolfo Sierra Romero
Érico Marlon de Moraes Flores
Elza Ferreira Noronha
Vanize de Oliveira Macêdo
author_sort Gustavo Adolfo Sierra Romero
collection DOAJ
description We analyzed data from historical controls treated with meglumine antimoniate to compare the frequency of adverse events observed in patients with cutaneous leishmaniasis treated with the same dose of meglumine antimoniate contaminated with heavy metals in an endemic area of the State of Bahia, Brazil. Group A patients were treated in 2000 with the drug produced by Eurofarma Laboratórios Ltda., São Paulo, Brazil (lot A) and group B patients were treated in 1996 with the reference drug produced by Rhodia Farma Ltda., São Paulo, Brazil (lot B). We observed an unusual higher frequency of skin reactions in group A patients. However, all type of adverse events observed in group A were also observed in group B. The physico-chemical analysis of these lots revealed that lot A had lower pH and higher concentration of total and trivalent antimony, lead, cadmium, and arsenic. Our findings suggest that the skin reactions could be attributed to heavy metal contamination of lot A.
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spelling doaj.art-6fd8eb62f2c34aee97fa01a554f14ccc2023-09-03T09:14:15ZengFundação Oswaldo Cruz (FIOCRUZ)Memorias do Instituto Oswaldo Cruz0074-02761678-80602003-01-0198114514910.1590/S0074-02762003000100019High frequency of skin reactions in patients with leishmaniasis treated with meglumine antimoniate contaminated with heavy metals: a comparative approach using historical controlsGustavo Adolfo Sierra RomeroÉrico Marlon de Moraes FloresElza Ferreira NoronhaVanize de Oliveira MacêdoWe analyzed data from historical controls treated with meglumine antimoniate to compare the frequency of adverse events observed in patients with cutaneous leishmaniasis treated with the same dose of meglumine antimoniate contaminated with heavy metals in an endemic area of the State of Bahia, Brazil. Group A patients were treated in 2000 with the drug produced by Eurofarma Laboratórios Ltda., São Paulo, Brazil (lot A) and group B patients were treated in 1996 with the reference drug produced by Rhodia Farma Ltda., São Paulo, Brazil (lot B). We observed an unusual higher frequency of skin reactions in group A patients. However, all type of adverse events observed in group A were also observed in group B. The physico-chemical analysis of these lots revealed that lot A had lower pH and higher concentration of total and trivalent antimony, lead, cadmium, and arsenic. Our findings suggest that the skin reactions could be attributed to heavy metal contamination of lot A.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762003000100019pentavalent antimonyheavy metalscutaneous leishmaniasisleadarsenictoxicity
spellingShingle Gustavo Adolfo Sierra Romero
Érico Marlon de Moraes Flores
Elza Ferreira Noronha
Vanize de Oliveira Macêdo
High frequency of skin reactions in patients with leishmaniasis treated with meglumine antimoniate contaminated with heavy metals: a comparative approach using historical controls
Memorias do Instituto Oswaldo Cruz
pentavalent antimony
heavy metals
cutaneous leishmaniasis
lead
arsenic
toxicity
title High frequency of skin reactions in patients with leishmaniasis treated with meglumine antimoniate contaminated with heavy metals: a comparative approach using historical controls
title_full High frequency of skin reactions in patients with leishmaniasis treated with meglumine antimoniate contaminated with heavy metals: a comparative approach using historical controls
title_fullStr High frequency of skin reactions in patients with leishmaniasis treated with meglumine antimoniate contaminated with heavy metals: a comparative approach using historical controls
title_full_unstemmed High frequency of skin reactions in patients with leishmaniasis treated with meglumine antimoniate contaminated with heavy metals: a comparative approach using historical controls
title_short High frequency of skin reactions in patients with leishmaniasis treated with meglumine antimoniate contaminated with heavy metals: a comparative approach using historical controls
title_sort high frequency of skin reactions in patients with leishmaniasis treated with meglumine antimoniate contaminated with heavy metals a comparative approach using historical controls
topic pentavalent antimony
heavy metals
cutaneous leishmaniasis
lead
arsenic
toxicity
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762003000100019
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