FIRST REPORT ON OTOTOXICITY OF MEGLUMINE ANTIMONIATE

Author:

Valete-Rosalino Cláudia Maria1,Araujo-Melo Maria Helena2,Bezerra Débora Cristina de Oliveira3,Barcelos Renata Oliveira de3,Melo-Ferreira Vanessa de4,Torraca Tânia Salgado de Sousa1,Martins Ana Cristina da Costa5,Moreira João Soares5,Vargas Mirian Catherine Melgares5,Braga Frederico Pereira Bom5,Salgueiro Mariza de Matos5,Saheki Maurício Naoto5,Schubach Armando Oliveira5

Affiliation:

1. Fundação Oswaldo Cruz (IPEC-FIOCRUZ), Brazil; Universidade Federal do Rio de Janeiro (UFRJ), Brazil

2. Fundação Oswaldo Cruz (IPEC-FIOCRUZ), Brazil; Universidade Federal do Estado do Rio de Janeiro (UNIRIO), Brazil

3. Universidade Federal do Rio de Janeiro (UFRJ), Brazil

4. Fundação Oswaldo Cruz (IPEC-FIOCRUZ), Brazil; Universidade Federal do Rio de Janeiro (UFRJ), Brazil; Bolsista de iniciação científica, Brazil

5. Fundação Oswaldo Cruz (IPEC-FIOCRUZ), Brazil

Abstract

Introduction: Pentavalent antimonials are the first drug of choice in the treatment of tegumentary leishmaniasis. Data on ototoxicity related with such drugs is scarcely available in literature, leading us to develop a study on cochleovestibular functions. Case Report: A case of a tegumentary leishmaniasis patient, a 78-year-old man who presented a substantial increase in auditory threshold with tinnitus and severe rotatory dizziness during the treatment with meglumine antimoniate, is reported. These symptoms worsened in two weeks after treatment was interrupted. Conclusion: Dizziness and tinnitus had already been related to meglumine antimoniate. However, this is the first well documented case of cochlear-vestibular toxicity related to meglumine antimoniate.

Publisher

FapUNIFESP (SciELO)

Subject

Infectious Diseases,General Medicine

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