High-dose oral fluconazole therapy effective for cutaneous leishmaniasis due to Leishmania (Vianna) braziliensis.

Sousa, Anastácio Q; Frutuoso, Mércia S; Moraes, Elisabete A; Pearson, Richard D; Pompeu, Margarida M L · Clin Infect Dis · 2011

case_series · Level IV

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Abstract

We report for the first time the successful use of fluconazole to treat cutaneous leishmaniasis due to Leishmania braziliensis. We used escalating doses from 5 to 8 mg/kg per day. At a dose of 5 mg/kg per day, 75% patients were cured, and at 8 mg/kg per day, the cure rate was 100%. Fluconazole was well tolerated.

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