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Randomized Trial of Benznidazole for Chronic Chagas’ Cardiomyopathy
Ist Teil von
The New England journal of medicine, 2015-10, Vol.373 (14), p.1295-1306
Ort / Verlag
United States: Massachusetts Medical Society
Erscheinungsjahr
2015
Quelle
Free E-Journal (出版社公開部分のみ)
Beschreibungen/Notizen
In this double-blind, placebo-controlled trial involving 2854 patients with Chagas' cardiomyopathy, no clinical benefit was found with 2 to 3 months of benznidazole therapy during 5 years of followup.
Chagas’ disease is the third most common parasitic disease globally, after malaria and schistosomiasis.
1
Chagas’ cardiomyopathy is the most common form of nonischemic cardiomyopathy and one of the leading causes of complications and death in Latin America.
2
An estimated 6 million to 7 million persons are infected, and 36,800 new cases occur each year. Chagas’ cardiomyopathy develops in approximately 25% of patients infected with
Trypanosoma cruzi
.
3
–
5
Chagas’ disease has two phases: acute and chronic. Acute infection is usually a self-limited febrile illness.
6
In the chronic phase, cardiac or digestive complications develop in approximately one third of patients two . . .