Macrofilaricidal Activity in Wuchereria bancrofti after 2 Weeks Treatment with a Combination of Rifampicin plus Doxycycline
Identifieur interne : 004D47 ( Main/Curation ); précédent : 004D46; suivant : 004D48Macrofilaricidal Activity in Wuchereria bancrofti after 2 Weeks Treatment with a Combination of Rifampicin plus Doxycycline
Auteurs : Alexander Yaw Debrah ; Sabine Mand [Allemagne] ; Yeboah Marfo-Debrekyei [Ghana] ; Linda Batsa [Ghana] ; Anna Albers [Allemagne] ; Sabine Specht [Allemagne] ; Ute Klarmann [Allemagne] ; Kenneth Pfarr [Allemagne] ; Ohene Adjei [Ghana] ; Achim Hoerauf [Allemagne]Source :
- Journal of Parasitology Research [ 2090-0023 ] ; 2011.
Abstract
Infection with the filarial nematode
Url:
DOI: 10.1155/2011/201617
PubMed: 21687646
PubMed Central: 3112504
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PMC:3112504Le document en format XML
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<author><name sortKey="Adjei, Ohene" sort="Adjei, Ohene" uniqKey="Adjei O" first="Ohene" last="Adjei">Ohene Adjei</name>
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<author><name sortKey="Hoerauf, Achim" sort="Hoerauf, Achim" uniqKey="Hoerauf A" first="Achim" last="Hoerauf">Achim Hoerauf</name>
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<series><title level="j">Journal of Parasitology Research</title>
<idno type="ISSN">2090-0023</idno>
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<front><div type="abstract" xml:lang="en"><p>Infection with the filarial nematode <italic>Wuchereria bancrofti</italic>
can lead to lymphedema, hydrocele, and elephantiasis. Since adult worms cause pathology in lymphatic filariasis (LF), it is imperative to discover macrofilaricidal drugs for the treatment of the infection. Endosymbiotic <italic>Wolbachia</italic>
in filariae have emerged as a new target for antibiotics which can lead to macrofilaricidal effects. In Ghana, a pilot study was carried out with 39 LF-infected men; 12 were treated with 200 mg doxycycline/day for 4 weeks, 16 were treated with a combination of 200 mg doxycycline/day + 10 mg/kg/day rifampicin for 2 weeks, and 11 patients received placebo. Patients were monitored for <italic>Wolbachia</italic>
and microfilaria loads, antigenaemia, and filarial dance sign (FDS). Both 4-week doxycycline and the 2-week combination treatment reduced <italic>Wolbachia</italic>
load significantly. At 18 months posttreatment, four-week doxycycline resulted in 100% adult worm loss, and the 2-week combination treatment resulted in a 50% adult worm loss. In conclusion, this pilot study with a combination of 2-week doxycycline and rifampicin demonstrates moderate macrofilaricidal activity against <italic>W. bancrofti</italic>
.</p>
</div>
</front>
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</record>
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