Evidence map›Paper›PMID 39292117›Full record

ArticleArquivos brasileiros de cardiologia2024

Causality and Severity of Adverse Reactions and Biochemical Changes to Benznidazole Treatment in Patients with Chronic Chagas Disease.

Alanna Carla da Costa Belmino, Emanuela Kelly Silva Sousa, José Damião da Silva Filho, Eduardo Arrais Rocha, Francisca Mylena Melgaço Nunes, Tiago Lima Sampaio, Leones Fernandes Evangelista, Bruna Ribeiro Duque, Isabel Cristina da Silva Araújo, José Igor de Oliveira Jacó and 1 more

Abstract read
In one paragraph

Article in Arquivos brasileiros de cardiologia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Trypanocidal Treatment for Chronic Chagas Disease: Past, Present, and Future.Revista da Sociedade Brasileira de Medicina Tropical · 2025
    Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Alanna Carla da Costa BelminoUniversidade Federal do Ceará, Fortaleza, CE - Brasil.ORCID 0000-0002-2050-9264
Emanuela Kelly Silva SousaUniversidade Federal do Ceará, Fortaleza, CE - Brasil.
José Damião da Silva FilhoUniversidade Federal do Ceará, Fortaleza, CE - Brasil.
Eduardo Arrais RochaUniversidade Federal do Ceará, Fortaleza, CE - Brasil.
Francisca Mylena Melgaço NunesUniversidade Federal do Ceará, Fortaleza, CE - Brasil.
Tiago Lima SampaioUniversidade Federal do Ceará, Fortaleza, CE - Brasil.
Leones Fernandes EvangelistaUniversidade Federal do Ceará, Fortaleza, CE - Brasil.
Bruna Ribeiro DuqueUniversidade Federal do Ceará, Fortaleza, CE - Brasil.
Isabel Cristina da Silva AraújoUniversidade Federal do Ceará, Fortaleza, CE - Brasil.
José Igor de Oliveira JacóUniversidade Federal do Ceará, Fortaleza, CE - Brasil.
Maria de Fátima OliveiraUniversidade Federal do Ceará, Fortaleza, CE - Brasil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChagas disease (CD) is a serious public health problem in Latin America. Benznidazole (BNZ) is used for the treatment of CD and, despite its wide use, little information is available about its toxicity and mechanisms of adverse drug reactions (ADR).

objectivesTo identify and classify clinical and laboratory adverse reactions caused by BNZ in terms of causality and severity.

methodsProspective cohort study from January 2018 to December 2021. Treatment follow-up included visits and biochemical tests (complete blood count, liver and kidney function tests) before, during and after treatment. ADR were classified according to causality and severity. In the statistical analysis, the significance level was set at p<0.05.

resultsForty patients with chronic CD were included. A high prevalence of ADR was observed 161 ADR in 30 patients [90%]; of these, 104 (64.6%) were classified as possible and 57 (35.4%) as probable. The ADR were classified as moderate and mild. Of the 40 patients, nine (22.5%) discontinued treatment. ADR associated with treatment discontinuation and interventions were those that affected the dermatological system, central and peripheral nervous system and sense organs such as ageusia. Mild hematological and biochemical changes such as lymphopenia were observed after 30 days of treatment.

conclusionMany patients were able to complete the treatment even with ADR, which can be attributed to the successful follow-up strategy with symptomatic treatment and counseling, leading to patient's awareness of symptoms and treatment adherence.

Indexed as

Chagas DiseaseNitroimidazolesTrypanocidal AgentsAdultAgedChronic DiseaseDrug-Related Side Effects and Adverse ReactionsFemaleHumansMaleMiddle AgedProspective StudiesSeverity of Illness IndexbenzonidazoleNitroimidazolesTrypanocidal Agents

Identifiers

PMID39292117
PMCPMC11495806

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.