Therapeutic failure of praziquantel in the treatment of Schistosoma haematobium infection in Brazilians returning from Africa

Detalhes bibliográficos
Autor(a) principal: Silva, Iran Mendonça da
Data de Publicação: 2005
Outros Autores: Thiengo, Roberto, Conceição, Maria José, Rey, Luis, Lenzi, Henrique Leonel, Pereira Filho, Edson, Ribeiro, Paulo César
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/3720
http://dx.doi.org/10.1590/S0074-02762005000400018
Resumo: Acknowledgments to the Serviço de Anatomopatologia, Hospital Central do Exército, Rio de Janeiro, for technical support.
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spelling Silva, Iran Mendonça daThiengo, RobertoConceição, Maria JoséRey, LuisLenzi, Henrique LeonelPereira Filho, EdsonRibeiro, Paulo César2011-12-15T23:05:48Z2011-12-15T23:05:48Z2005SILVA, Iran Mendonça da et al. Therapeutic failure of praziquantel in the treatment of Schistosoma haematobium infection in Brazilians returning from Africa. Memórias do Instituto Oswaldo Cruz, v.100, n.4, p. 445-449, 2005.0074-0276https://www.arca.fiocruz.br/handle/icict/3720http://dx.doi.org/10.1590/S0074-02762005000400018Acknowledgments to the Serviço de Anatomopatologia, Hospital Central do Exército, Rio de Janeiro, for technical support.Instituto de Biologia do Exército. Divisão de Ensino e Pesquisa. Subdivisão de Pesquisa. Seção de Vigilância Epidemiológica. Rio de Janeiro, RJ, BrasilHospital Central do Exército. Serviço de Urologia. Rio de Janeiro, RJ, BrasilFundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Biologia e Controle de Esquistossomose. Departamento de Medicina Tropical. Rio de Janeiro, RJ, Brasil / Hospital Universitário Clementino Fraga Filho, Rio de Janeiro, RJ, BrasilFundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Biologia e Controle de Esquistossomose. Departamento de Medicina Tropical. Rio de Janeiro, RJ, BrasilFundação Oswaldo Cruz. Instituto Oswaldo Cruz. Departamento de Patologia. Rio de Janeiro, RJ, BrasilInstituto de Biologia do Exército. Divisão de Ensino e Pesquisa. Subdivisão de Pesquisa. Seção de Vigilância Epidemiológica. Rio de Janeiro, RJ, BrasilInstituto de Biologia do Exército. Divisão de Ensino e Pesquisa. Subdivisão de Pesquisa. Seção de Vigilância Epidemiológica. Rio de Janeiro, RJ, BrasilSeveral cases of therapeutic failure of praziquantel used for the treatment of urinary schistosomiasis have been reported. Alternative drugs, like niridazol and metrifonate, have shown a lower therapeutic effect and more side effects than praziquantel. Twenty-six Brazilian military men (median age of 29 years) with a positive urine parasitological exam who were part of a United Nation peace mission in Mozambique in 1994 were treated with 40 mg/kg body weight praziquantel, single dose. They swimmed in Licungo river (Mocuba city, Mozambique) during the weekends. After this, they presented haematuria, dysuria, polakiuria, and lumbar pain. Control cystoscopy examinations carried out between 6 and 24 months after each treatment (including two additional treatments at a minimum interval of 6 months) revealed the presence of viable eggs. Granulomas in the vesical submucosa were observed in 46.2% (12/26) of the individuals. A vesical biopsy confirmed the presence of granulomas in all of these patients and the presence of viable eggs in 34.3% (9/26) of individuals who no longer excreted eggs in urine. The eggs filled with miracidia showed characteristics of viability. Histopathological examination using different strains demonstrated therapeutic failure and the need for repeated treatment. In this study, we demonstrated a low efficacy of praziquantel in the treatment of schistosomiasis haematobia, and the necessity of the urinary bladder biopsy as criterion of cure.engFundação Oswaldo Cruz. 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dc.title.pt_BR.fl_str_mv Therapeutic failure of praziquantel in the treatment of Schistosoma haematobium infection in Brazilians returning from Africa
title Therapeutic failure of praziquantel in the treatment of Schistosoma haematobium infection in Brazilians returning from Africa
spellingShingle Therapeutic failure of praziquantel in the treatment of Schistosoma haematobium infection in Brazilians returning from Africa
Silva, Iran Mendonça da
Schistosomiasis Therapeutic Failure
Praziquantel
Schistosoma haematobium
Africa
Brazil
Schistosoma haematobium
Praziquantel
Schistosoma haematobium
Africa
Brasil
title_short Therapeutic failure of praziquantel in the treatment of Schistosoma haematobium infection in Brazilians returning from Africa
title_full Therapeutic failure of praziquantel in the treatment of Schistosoma haematobium infection in Brazilians returning from Africa
title_fullStr Therapeutic failure of praziquantel in the treatment of Schistosoma haematobium infection in Brazilians returning from Africa
title_full_unstemmed Therapeutic failure of praziquantel in the treatment of Schistosoma haematobium infection in Brazilians returning from Africa
title_sort Therapeutic failure of praziquantel in the treatment of Schistosoma haematobium infection in Brazilians returning from Africa
author Silva, Iran Mendonça da
author_facet Silva, Iran Mendonça da
Thiengo, Roberto
Conceição, Maria José
Rey, Luis
Lenzi, Henrique Leonel
Pereira Filho, Edson
Ribeiro, Paulo César
author_role author
author2 Thiengo, Roberto
Conceição, Maria José
Rey, Luis
Lenzi, Henrique Leonel
Pereira Filho, Edson
Ribeiro, Paulo César
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Silva, Iran Mendonça da
Thiengo, Roberto
Conceição, Maria José
Rey, Luis
Lenzi, Henrique Leonel
Pereira Filho, Edson
Ribeiro, Paulo César
dc.subject.en.pt_BR.fl_str_mv Schistosomiasis Therapeutic Failure
Praziquantel
Schistosoma haematobium
Africa
Brazil
topic Schistosomiasis Therapeutic Failure
Praziquantel
Schistosoma haematobium
Africa
Brazil
Schistosoma haematobium
Praziquantel
Schistosoma haematobium
Africa
Brasil
dc.subject.decs.pt_BR.fl_str_mv Schistosoma haematobium
Praziquantel
Schistosoma haematobium
Africa
Brasil
description Acknowledgments to the Serviço de Anatomopatologia, Hospital Central do Exército, Rio de Janeiro, for technical support.
publishDate 2005
dc.date.issued.fl_str_mv 2005
dc.date.accessioned.fl_str_mv 2011-12-15T23:05:48Z
dc.date.available.fl_str_mv 2011-12-15T23:05:48Z
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dc.identifier.citation.fl_str_mv SILVA, Iran Mendonça da et al. Therapeutic failure of praziquantel in the treatment of Schistosoma haematobium infection in Brazilians returning from Africa. Memórias do Instituto Oswaldo Cruz, v.100, n.4, p. 445-449, 2005.
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identifier_str_mv SILVA, Iran Mendonça da et al. Therapeutic failure of praziquantel in the treatment of Schistosoma haematobium infection in Brazilians returning from Africa. Memórias do Instituto Oswaldo Cruz, v.100, n.4, p. 445-449, 2005.
0074-0276
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http://dx.doi.org/10.1590/S0074-02762005000400018
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