[Glucantime injection: benefit versus toxicity]

Med Mal Infect. 2005 Jan;35(1):42-5. doi: 10.1016/j.medmal.2004.07.032.
[Article in French]

Abstract

Glucantime is the most common stibied derivative used to treat cutaneous leishmaniasis (CL) in Tunisia; however adverse effects have been reported.

Objectives: This retrospective study deals with the various adverse of intramuscular glucantime used for CL.

Results: Nineteen patients (21%) receiving intramuscular Glucantime developed adverse effects. 8 male and 11 female patients, mean age 45, ranging from 8 to 84 years were affected. adverse effects were: fever (3), arthralgia and myalgia (4), nausea and vomiting (2), erythema nodosum (1), acute renal failure (3 including 1 lethal case), hepatic cytolysis (1), skin rash (4), and inflammation of the injection site (1).

Conclusion: Adverse effects of intramuscular Glucantime were relatively frequent in our series. Arthralgia, myalgia, and skin rash were not severe and disappeared when the treatment was stopped. Stibiointoxication cases, mainly acute renal failure, were serious.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Antimony
  • Antiprotozoal Agents / adverse effects*
  • Antiprotozoal Agents / therapeutic use*
  • Exanthema / etiology
  • Female
  • Humans
  • Injections, Intramuscular
  • Leishmaniasis, Cutaneous / drug therapy*
  • Male
  • Meglumine / adverse effects*
  • Meglumine / therapeutic use*
  • Meglumine Antimoniate
  • Middle Aged
  • Organometallic Compounds / adverse effects*
  • Organometallic Compounds / therapeutic use*
  • Pain / etiology
  • Retrospective Studies

Substances

  • Antiprotozoal Agents
  • Organometallic Compounds
  • Meglumine
  • Meglumine Antimoniate
  • Antimony