絲蟲病是由絲蟲寄生在人體淋巴系統引起的傳染病。主要治療藥物包括乙胺嗪、呋喃嘧酮和舒拉明鈉等。乙胺嗪能夠有效殺滅馬來、班氏、帝汶、羅阿和盤尾絲蟲的微絲蚴,自1947年起便成為治療淋巴絲蟲病的首選藥物,并可用于盤尾絲蟲病和羅阿絲蟲病的治療。
利什曼原蟲病主要分布在熱帶和亞熱帶地區,傳播媒介如白蛉屬和羅蛉屬生活在這些區域。感染發生在網狀內皮細胞中存在無鞭毛型(amastigote)利什曼原蟲時。東半球以白蛉為傳播媒介,西半球則通過羅蛉傳播。嚙齒動物和其他小型哺乳動物是貯存宿主。
人類可因臟器、皮膚黏膜或皮膚感染而遭受感染,癥狀從輕微和自限性到嚴重不一。由杜氏利什曼原蟲引起的內臟利什曼病即黑熱病,在免疫缺陷個體中可能致命;但在免疫功能正常者體內,它可能會潛伏多年,僅在宿主因任何原因導致免疫力下降時顯現。此外,并非所有患者都會表現出明顯的免疫抑制而出現內臟利什曼病。
內臟利什曼病通常表現為逐漸發熱、體重減輕、肝脾腫大及肝功能異常、低蛋白血癥、高丙種球蛋白血癥、全血細胞減少和出血等癥狀。在疫區,部分病人可能無癥狀或癥狀輕微,即便未經治療,感染也不一定發展;但另一方面,感染亦可能致命,特別是對于免疫缺陷者而言。營養不良也是導致內臟利什曼病的重要危險因素之一。
南美的皮膚黏膜利什曼病主要由巴西利什曼原蟲引起,需要積極治療,因為口腔、腭、咽和鼻部的黏膜潰瘍可能會造成明顯的面部改變。皮膚利什曼?。|方瘡)則可由熱帶或大型利什曼原蟲以及巴西、墨西哥或秘魯利什曼原蟲引起,在北至美國德克薩斯州的地方也有報道,癥狀通常首先在昆蟲叮咬處出現一小結節,隨后結痂或破潰,并愈合緩慢。從皮膚潰瘍邊緣采集組織樣本進行培養或檢測,常能發現利什曼原蟲。
| 中文名稱 | 英文名稱 | CAS號 | 化學式 |
|---|---|---|---|
| 羥芪巴脒 | Hidroxiestilbamidina | 495-99-8 | C16H16N4O |
| 枸櫞酸乙胺嗪 | N,N-diethyl-4-methylpiperazine-1-carboxamide dihydrogen citrate | 1642-54-2 | C6H8O7*C10H21N3O |
| 斯銻黑克 | Stibogluconate | 100817-46-7 | C12H20O17Sb2 |
| 噴他脒 | pentamidine | 100-33-4 | C19H24N4O2 |
| 伊維菌素 B1a | 5-O-demethyl-22,23-dihydro-avermectin A1a | 71827-03-7 | C48H74O14 |
| 乙胺嗪 | diethylcarbamazine | 90-89-1 | C10H21N3O |
| —— | (1R,4S,5'S,6R,6'R,8R,12S,13S,20R,21R,24S)-6'-[(2S)-butan-2-yl]-21,24-dihydroxy-12-[(2R,4S,5S,6S)-5-[(2S,4S,5S,6S)-5-hydroxy-4-methoxy-6-methyloxan-2-yl]oxy-4-methoxy-6-methyloxan-2-yl]oxy-5',11,13,22-tetramethylspiro[3,7,19-trioxatetracyclo[15.6.1.14,8.020,24]pentacosa-10,14,16,22-tetraene-6,2'-oxane]-2-one | 70288-86-7 | C48H74O14 |
| —— | (1R,4S,5'S,6R,6'R,8R,10E,13S,14E,16E,20R,21R,24S)-6'-[(2S)-butan-2-yl]-21,24-dihydroxy-12-[(2R,4S,5S,6S)-5-[(2S,4S,5S,6S)-5-hydroxy-4-methoxy-6-methyloxan-2-yl]oxy-4-methoxy-6-methyloxan-2-yl]oxy-5',11,13,22-tetramethylspiro[3,7,19-trioxatetracyclo[15.6.1.14,8.020,24]pentacosa-10,14,16,22-tetraene-6,2'-oxane]-2-one | 70288-86-7 | C48H74O14 |
| —— | (1R,4S,6R,10E,14E,16E,21R)-6'-butan-2-yl-21,24-dihydroxy-12-[(2R,4S,6S)-5-[(2S,4S,6S)-5-hydroxy-4-methoxy-6-methyloxan-2-yl]oxy-4-methoxy-6-methyloxan-2-yl]oxy-5',11,13,22-tetramethylspiro[3,7,19-trioxatetracyclo[15.6.1.14,8.020,24]pentacosa-10,14,16,22-tetraene-6,2'-oxane]-2-one | 70288-86-7 | C48H74O14 |
| —— | Hydroxystilbamidine | 495-99-8 | C16H16N4O |
| —— | 2-epi-Ivermectin B1a | 70288-86-7 | C48H74O14 |
| —— | (1R,4S,5'S,6R,6'S,8R,10E,12S,13S,14E,16E,20R,21R,24S)-6'-[(2S)-butan-2-yl]-21,24-dihydroxy-12-[(2R,4S,5S,6S)-5-[(2S,4S,5S,6S)-5-hydroxy-4-methoxy-6-methyloxan-2-yl]oxy-4-methoxy-6-methyloxan-2-yl]oxy-5',11,13,22-tetramethylspiro[3,7,19-trioxatetracyclo[15.6.1.14,8.020,24]pentacosa-10,14,16,22-tetraene-6,2'-oxane]-2-one | 70288-86-7 | C48H74O14 |
| —— | Pentostam | 16037-91-5 | C12H37Na3O26Sb2 |
| —— | (1R,4S,5'S,6R,6'R,8R,12S,13S,20R,21R,24S)-6'-[(2R)-butan-2-yl]-21,24-dihydroxy-12-[(2R,4S,5S,6S)-5-[(2S,4S,5S,6S)-5-hydroxy-4-methoxy-6-methyloxan-2-yl]oxy-4-methoxy-6-methyloxan-2-yl]oxy-5',11,13,22-tetramethylspiro[3,7,19-trioxatetracyclo[15.6.1.14,8.020,24]pentacosa-10,14,16,22-tetraene-6,2'-oxane]-2-one | 70288-86-7 | C48H74O14 |
| —— | Pharmakon1600-01300027 | 70288-86-7 | C48H74O14 |
| —— | (6R,24S)-6'-butan-2-yl-21,24-dihydroxy-12-[5-(5-hydroxy-4-methoxy-6-methyloxan-2-yl)oxy-4-methoxy-6-methyloxan-2-yl]oxy-5',11,13,22-tetramethylspiro[3,7,19-trioxatetracyclo[15.6.1.14,8.020,24]pentacosa-10,14,16,22-tetraene-6,2'-oxane]-2-one | 70288-86-7 | C48H74O14 |
| —— | ivermectin | 70288-86-7 | C48H74O14 |
| —— | Sodium stibogluconate | 16037-91-5 | C12H36Na3O26Sb2+ |
| —— | (1R,4S,5'S,6R,6'R,8R,12S,13S,14E,16E,20R,21R,24S)-6'-[(2S)-butan-2-yl]-21,24-dihydroxy-12-[(2R,4S,5S,6S)-5-[(2S,4S,5S,6S)-5-hydroxy-4-methoxy-6-methyloxan-2-yl]oxy-4-methoxy-6-methyloxan-2-yl]oxy-5',11,13,22-tetramethylspiro[3,7,19-trioxatetracyclo[15.6.1.14,8.020,24]pentacosa-10,14,16,22-tetraene-6,2'-oxane]-2-one | 70288-86-7 | C48H74O14 |
| —— | (1S,4S,5'S,6R,6'R,8R,10E,12S,13S,14E,20R,21R,24S)-6'-[(2S)-butan-2-yl]-21,24-dihydroxy-12-[(2R,4S,5S,6S)-5-[(2S,4S,5S,6S)-5-hydroxy-4-methoxy-6-methyloxan-2-yl]oxy-4-methoxy-6-methyloxan-2-yl]oxy-5',11,13,22-tetramethylspiro[3,7,19-trioxatetracyclo[15.6.1.14,8.020,24]pentacosa-10,14,16,22-tetraene-6,2'-oxane]-2-one | 70288-86-7 | C48H74O14 |
| —— | (1R,4S,5'S,6R,6'R,8R,10E,12S,13S,14E,16E,20R,21R,24S)-6'-[(2S)-butan-2-yl]-21,24-dihydroxy-12-[(2R,4S,5S,6R)-5-[(2S,4S,5S,6R)-5-hydroxy-4-methoxy-6-methyloxan-2-yl]oxy-4-methoxy-6-methyloxan-2-yl]oxy-5',11,13,22-tetramethylspiro[3,7,19-trioxatetracyclo[15.6.1.14,8.020,24]pentacosa-10,14,16,22-tetraene-6,2'-oxane]-2-one | 70288-86-7 | C48H74O14 |
| —— | (1R,4S,5'S,6R,6'R,8R,10E,12S,13S,14E,20R,21R,24S)-6'-[(2S)-butan-2-yl]-21,24-dihydroxy-12-[(2R,4S,5S,6S)-5-[(2S,4S,5S,6S)-5-hydroxy-4-methoxy-6-methyloxan-2-yl]oxy-4-methoxy-6-methyloxan-2-yl]oxy-5',11,13,22-tetramethylspiro[3,7,19-trioxatetracyclo[15.6.1.14,8.020,24]pentacosa-10,14,16,22-tetraene-6,2'-oxane]-2-one | 70288-86-7 | C48H74O14 |
| —— | 6'-Butan-2-yl-21,24-dihydroxy-12-[5-(5-hydroxy-4-methoxy-6-methyloxan-2-yl)oxy-4-methoxy-6-methyloxan-2-yl]oxy-5',11,13,22-tetramethylspiro[3,7,19-trioxatetracyclo[15.6.1.14,8.020,24]pentacosa-10,14,16,22-tetraene-6,2'-oxane]-2-one | 70288-86-7 | C48H74O14 |