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Reduced Itraconazole Concentration and Durations Are Successful in Treating Batrachochytrium dendrobatidis Infection in Amphibians
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Donovanosis treated with thiamphenicol.

Walter Belda1, Paulo Eduardo Neves Ferreira Velho, Marcelo Arnone

  • 1Department of Dermatology, School of Medicine, University of São Paulo, Brazil.

The Brazilian Journal of Infectious Diseases : an Official Publication of the Brazilian Society of Infectious Diseases
|September 18, 2007
PubMed
Summary
This summary is machine-generated.

Thiamphenicol effectively healed donovanosis lesions in eight out of ten patients, including those with HIV. This antibiotic shows promise as a safe and cost-effective treatment for donovanosis.

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Area of Science:

  • Infectious Diseases
  • Tropical Medicine
  • Dermatology

Background:

  • Donovanosis, a chronic granulomatous sexually transmitted infection, is caused by Klebsiella granulomatis.
  • Treatment options for donovanosis can be limited, and drug resistance is a growing concern.
  • Effective and accessible management strategies are crucial, particularly in resource-limited settings.

Purpose of the Study:

  • To evaluate the efficacy and safety of thiamphenicol in treating donovanosis.
  • To assess the treatment outcomes in both HIV-negative and HIV-positive patients.

Main Methods:

  • A prospective study involving ten patients diagnosed with donovanosis.
  • Patients received a two-week course of thiamphenicol.
  • Clinical outcomes, including lesion healing and adverse events, were monitored.

Main Results:

  • Lesion healing was observed in eight out of ten patients (80% efficacy).
  • Two of the successfully treated patients were co-infected with HIV.
  • Thiamphenicol was generally well-tolerated, indicating a favorable safety profile.

Conclusions:

  • Thiamphenicol demonstrates significant efficacy and a good safety profile for donovanosis management.
  • Its cost-effectiveness makes it a valuable therapeutic option, especially in endemic areas.
  • Further randomized controlled trials are warranted to confirm these findings and establish thiamphenicol as a standard treatment.