Ocular toxoplasmosis: adverse reactions to treatment in a Brazilian cohort

Detalhes bibliográficos
Autor(a) principal: Guaraldo, Lusiele
Data de Publicação: 2018
Outros Autores: Villar, Bianca Balzano de la Fuente, Durão, Nicolle Marins Gomes, Louro, Virgínia Clare, Quintana, Marcel de Souza Borges, Curi, André Luiz Land, Neves, Elizabeth Souza
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/31731
Resumo: 2020-01-31
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spelling Guaraldo, LusieleVillar, Bianca Balzano de la FuenteDurão, Nicolle Marins GomesLouro, Virgínia ClareQuintana, Marcel de Souza BorgesCuri, André Luiz LandNeves, Elizabeth Souza2019-02-19T11:48:41Z2019-02-19T11:48:41Z2018GUARALDO, Lusiele et al. Ocular toxoplasmosis: adverse reactions to treatment in a Brazilian cohort. Transactions of The Royal Society of Tropical Medicine and Hygiene, v. 112, p. 188–192, 2018.0035-9203https://www.arca.fiocruz.br/handle/icict/3173110.1093/trstmh/try0401878-3503engOxford University PressOcular toxoplasmosis: adverse reactions to treatment in a Brazilian cohortinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article2020-01-31Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Background: The purpose of this study was to estimate the frequency and describe the adverse drug reactions (ADRs) associated with the classic treatment of ocular toxoplasmosis (OT), namely sulfadiazine, pyrimethamine, corticosteroids and folinic acid. Methods: We performed a descriptive study of a prospective cohort of patients with OT treated with the classic therapy. Data were collected during medical consultations and treatment. Results: Of the 147 patients studied, 85% developed one or more ADR. Women presented more ADRs than men (95% vs 77%). Of the total reactions (n=394), 82% were mild, but we found one life-threatening event (Stevens–Johnson syndrome). The most frequent types (71%) of ADRs were gastrointestinal, skin and neurological or psychiatric. The majority of ADRs (90.3%) occurred before the second week of treatment. A third of the patients were treated for the ADR and 10% dropped out of OT treatment. Most (70%) of the ADRs were characterized as being probably caused by the drugs and may be associated with prednisone, sulfadiazine and sulfadiazine/prednisone. Six percent of ADRs were not previously described, such as taste alteration, constipation/bloating, dyspnoea, sweating and somnolence. Conclusions: Our results suggest a high rate of ADRs to OT classic treatment, which requires careful follow-up in order to identify and treat ADRs early.Adverse drug reactionsDrug therapyOcular toxoplasmosisUveitisinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/31731/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALve_Guaraldo_Lusiele_etal_INI_2018.pdfve_Guaraldo_Lusiele_etal_INI_2018.pdfapplication/pdf213612https://www.arca.fiocruz.br/bitstream/icict/31731/2/ve_Guaraldo_Lusiele_etal_INI_2018.pdf0e41a35333d69b4c26ad283724dcb713MD52TEXTve_Guaraldo_Lusiele_etal_INI_2018.pdf.txtve_Guaraldo_Lusiele_etal_INI_2018.pdf.txtExtracted 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dc.title.pt_BR.fl_str_mv Ocular toxoplasmosis: adverse reactions to treatment in a Brazilian cohort
title Ocular toxoplasmosis: adverse reactions to treatment in a Brazilian cohort
spellingShingle Ocular toxoplasmosis: adverse reactions to treatment in a Brazilian cohort
Guaraldo, Lusiele
Adverse drug reactions
Drug therapy
Ocular toxoplasmosis
Uveitis
title_short Ocular toxoplasmosis: adverse reactions to treatment in a Brazilian cohort
title_full Ocular toxoplasmosis: adverse reactions to treatment in a Brazilian cohort
title_fullStr Ocular toxoplasmosis: adverse reactions to treatment in a Brazilian cohort
title_full_unstemmed Ocular toxoplasmosis: adverse reactions to treatment in a Brazilian cohort
title_sort Ocular toxoplasmosis: adverse reactions to treatment in a Brazilian cohort
author Guaraldo, Lusiele
author_facet Guaraldo, Lusiele
Villar, Bianca Balzano de la Fuente
Durão, Nicolle Marins Gomes
Louro, Virgínia Clare
Quintana, Marcel de Souza Borges
Curi, André Luiz Land
Neves, Elizabeth Souza
author_role author
author2 Villar, Bianca Balzano de la Fuente
Durão, Nicolle Marins Gomes
Louro, Virgínia Clare
Quintana, Marcel de Souza Borges
Curi, André Luiz Land
Neves, Elizabeth Souza
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Guaraldo, Lusiele
Villar, Bianca Balzano de la Fuente
Durão, Nicolle Marins Gomes
Louro, Virgínia Clare
Quintana, Marcel de Souza Borges
Curi, André Luiz Land
Neves, Elizabeth Souza
dc.subject.en.pt_BR.fl_str_mv Adverse drug reactions
Drug therapy
Ocular toxoplasmosis
Uveitis
topic Adverse drug reactions
Drug therapy
Ocular toxoplasmosis
Uveitis
description 2020-01-31
publishDate 2018
dc.date.issued.fl_str_mv 2018
dc.date.accessioned.fl_str_mv 2019-02-19T11:48:41Z
dc.date.available.fl_str_mv 2019-02-19T11:48:41Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.citation.fl_str_mv GUARALDO, Lusiele et al. Ocular toxoplasmosis: adverse reactions to treatment in a Brazilian cohort. Transactions of The Royal Society of Tropical Medicine and Hygiene, v. 112, p. 188–192, 2018.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/31731
dc.identifier.issn.pt_BR.fl_str_mv 0035-9203
dc.identifier.doi.none.fl_str_mv 10.1093/trstmh/try040
dc.identifier.eissn.none.fl_str_mv 1878-3503
identifier_str_mv GUARALDO, Lusiele et al. Ocular toxoplasmosis: adverse reactions to treatment in a Brazilian cohort. Transactions of The Royal Society of Tropical Medicine and Hygiene, v. 112, p. 188–192, 2018.
0035-9203
10.1093/trstmh/try040
1878-3503
url https://www.arca.fiocruz.br/handle/icict/31731
dc.language.iso.fl_str_mv eng
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dc.publisher.none.fl_str_mv Oxford University Press
publisher.none.fl_str_mv Oxford University Press
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
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