Reworking the treatment of Indian Post Kala azar Dermal Leishmaniasis: 2-step therapy.

Abstract

In the current scenario, treatment of Post Kala Azar Dermal leishmaniasis (PKDL) is intravenous liposomal amphotericin B or oral miltefosine. Over the years, there has been a gradual decline in efficacy of miltefosine and a rise in permanent loss of vision. Moreover, In non-endemic states, miltefosine is not freely available. In view of this, we attempted a two step regimen of liposomal amphotericin B and itraconazole to treat two patients of PKDL diagnosed on histopathology as well as PCR. We found this treatment to be highly effective with complete recovery.