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Evaluación del impacto terapéutico del benznidazol en pacientes con enfermedad crónica de Chagas sin aparente sintomatología.

Authors: Gómez, Inmaculada; Egui, Adriana; Pérez-Antón, Elena; Andrés-León, Eduardo; Gainza, Eusebio; Oquiñena, Enrique; López-Ruz, Miguel Ángel; +3 Authors

Evaluación del impacto terapéutico del benznidazol en pacientes con enfermedad crónica de Chagas sin aparente sintomatología.

Abstract

Resumen Introducción: La mayoría de los pacientes con enfermedad de Chagas permanecen en una etapa crónica asintomática que, aproximadamente, en el 30% de los casos deriva a una fase sintomática caracterizada por graves alteraciones cardíacas y digestivas. En la fase crónica asintomática se recomienda la administración de Benznidazol o Nifurtimox, aunque los efectos secundarios son frecuentes. El impacto del tratamiento es difícil de determinar, pues la seroconversión mediante pruebas serológicas convencionales, actualmente en uso, puede tardar décadas en ser concluyente. Así, un importante reto es el establecimiento de biomarcadores (BMKs) que permitan determinar la eficacia del tratamiento en un corto periodo de tiempo. Métodos: La evaluación del impacto del tratamiento se ha llevado a cabo, con el set de BMKs formado por los antígenos KMP11, PFR2, HSP70 y 3973d de T. cruzi y la técnica de ELISA en 66 pacientes asintomáticos con Chagas crónico, tratados con benznidazol. Se diseñó un algoritmo de medida asociado al hecho de existir una caída continua en la reactividad frente a los 4 BMKs (reactividad a T9¿T0, T24/T48

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
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