S. Sundar et al., Failure of pentavalent antimony in visceral leishmaniasis in India: Reportfrom the center of the Indian epidemic, CLIN INF D, 31(4), 2000, pp. 1104-1107
In India, 320 patients with visceral leishmaniasis (209 in the state of Bih
ar and 11 in the neighboring state of Uttar Pradesh) received identical pen
tavalent antimony (Sb) treatment. Sb induced long-term cure in 35% (95% con
fidence interval [CI], 28-42%) of those in Bihar versus 86% (95% CI, 79%-93
%) of those in Uttar Pradesh, In Bihar, the center of the Indian epidemic,
traditional Sb treatment should be abandoned.