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Ther Clin Risk Manag. 2008 June; 4(3): 659–663.
Published online 2008 June.
PMCID: PMC2500262
Concurrent Chagas’ disease and borderline disseminated cutaneous leishmaniasis: The role of amiodarone as an antitrypanosomatidae drug
Alberto E Paniz-Mondolfi,1,4 Alexandra M Pérez-Álvarez,1 Oscar Reyes-Jaimes,2 Gustavo Socorro,1 Olga Zerpa,3 Denisa Slova,4 and Juan L Concepción5
1Laboratorio de Estudio de Antígenos, Instituto de Biomedicina, “Hospital José Gregório Hernández“, Instituto Venezolano de los Seguros Sociales, Caracas, Venezuela
2Departamento de Dermopatología, Instituto de Biomedicina, Caracas, Venezuela
3Sección de Leishmaniasis, Instituto de Biomedicina, Caracas, Venezuela
4Department of Pathology and Laboratory Medicine, St. Luke’s - Roosevelt - Beth Israel Medical Center, University Hospital of Columbia University College of Physicians and Surgeons, New York, USA
5Laboratorio de Enzimología de Parásitos, Facultad de Ciencias, Universidad de Los Andes, Mérida, Venezuela
Correspondence: A E Paniz-Mondolfi Department of Pathology and Laboratory Medicine, St. Luke’s - Roosevelt - Beth Israel Medical Center, 1111 Amsterdam Avenue, New York, NY 10026, USA Tel + 1 917 355 7530 Fax + 1 212 600 1840 Email ap2647/at/columbia.edu
Abstract
The occurrence of mixed infections of Trypanosoma cruzi and Leishmania spp. is becoming a common feature in Central and South America due to overlapping endemic areas. Unfortunately, the possibilities for treating flagellated kinetoplastid infections are still very limited and most of the available drugs exhibit severe side effects. Although the development of new drugs for Leishmania has markedly improved in the last years, the tendency is still to employ antimonial compounds. On the other hand, treatment for Chagas’ disease is only available for the acute phase with no effective therapeutical options for chronic stage disease. The following case report substantiates the recently discovered effect of amiodarone as a nonconventional antiparasitic drug, particularly against Leishmania, breaching a new perspective in the therapeutic management of these important infectious parasitic diseases.
Keywords: Chagas’ disease, leishmaniasis, chemotherapy, amiodarone