Table 1.
Day | Treatment | Diagnosis | L. infantum status |
---|---|---|---|
−5 months |
Cyclosporine 10 mg/kg once daily orally Prednisolone 0.8 mg/kg once daily orally |
Primary immune-mediated hemolytic anemia | — |
Day 0 (first presentation) |
Allopurinol 9.3 mg/kg twice daily orally Meglumine antimonate 92 mg/kg once daily subcutaneouslya Prednisolone 0.6 mg/kg once daily orally Stopped cyclosporine |
Leishmaniasis | Serology 1:640 (positive)b |
Day 38 |
Allopurinol 9.3 mg/kg twice daily orally Meglumine antimonate 92 mg/kg once daily subcutaneously Prednisolone 0.4 mg/kg once daily orally |
— | |
Day 73 |
Allopurinol 7.4 mg/kg twice daily orally Prednisolone 0.2 mg/kg once daily orally Meglumine antimonate finished |
— | |
Day 143 |
Allopurinol 7.4 mg/kg twice daily orally Prednisolone stopped |
Serology 1:640 (positive)b | |
Day 679 |
Allopurinol 7.4 mg/kg twice daily orally Meglumine antimonate 80 mg/kg once daily subcutaneously |
Serology 1:640 (positive)b PCR positiveb |
|
Day 722 |
Allopurinol 7.4 mg/kg twice daily orally Meglumine antimonate finished |
— |
aGlucantime 1.5 g/5 ml, Sanofi-Aventis France, Gentilly Cedex
bOrbio laboratory, Bron, France