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Related Experiment Video

Updated: Jun 7, 2026

Measuring Naturally Acquired Phagocytosis-Inducing Antibodies to Plasmodium falciparum Parasites by a Flow Cytometry-Based Assay
09:57

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Published on: August 6, 2020

Kala azar in Pregnancy.

M T Miah1, F M Ayaz, M Maniruzzaman

  • 1Department of Medicine, Mymensingh Medical College, Mymensingh, Bangladesh.

Mymensingh Medical Journal : MMJ
|October 20, 2010
PubMed
Summary

Sodium Antimony Gluconate (SAG) treatment for Kala azar (KA) in pregnant women resulted in high abortion rates, particularly in early to mid-pregnancy. Researchers recommend avoiding SAG during early and mid-pregnancy due to these risks.

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Area of Science:

  • Tropical Medicine
  • Obstetrics
  • Pharmacology

Background:

  • Kala azar (KA) is a significant tropical disease, with pregnancy posing unique challenges.
  • Sodium Antimony Gluconate (SAG) is the registered treatment for KA in pregnant women in Bangladesh.
  • Limited data exists on the safety and outcomes of SAG treatment during pregnancy.

Purpose of the Study:

  • To evaluate the obstetric outcomes of pregnant patients treated with Sodium Antimony Gluconate (SAG) for Kala azar (KA).
  • To assess the safety of SAG in treating KA during different stages of pregnancy.

Main Methods:

  • A retrospective study was conducted in Fulbaria, a KA endemic area in Bangladesh.
  • Data from 16 pregnant women diagnosed with KA between 2005 and 2009 were analyzed.
  • Outcomes were compared based on gestational age at the time of treatment.

Main Results:

  • 11 out of 16 pregnant patients experienced abortion, predominantly between the 16th and 22nd week of gestation.
  • Abortions occurred around the 22nd to 24th day of SAG treatment.
  • The remaining 5 patients in their 30th to 34th week of pregnancy had favorable obstetric outcomes.
  • All 16 patients achieved clinical cure for KA.

Conclusions:

  • Sodium Antimony Gluconate (SAG) may induce abortions in early to mid-pregnancy.
  • SAG is not recommended for treating Kala azar (KA) in early or mid-pregnancy.
  • Further research is needed on the safety of SAG in late pregnancy and its effects on neonates.