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Jannin J. Drugs, last stage for access to treatment for neglected populations. The example of sleeping sickness. Health products and the Third World: industrial aspects. AMIPS Info 2004; 100-103. This article raises the fundamental issue of access to treatment by the rural population of the African continent, a fundamental issue beyond the availability of effective diagnosis and drugs.
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Burri C, Brun R. Human african trypanosomiasis. In Cook GC, Zumla A, editors. Manson's Tropical Diseases, 21st edn. London: Elsevier Science; 2003. pp. 1303-1323.
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Louis FJ, Keiser J, Simarro PP, et al. Eflornithine in the treatment of African trypanosomiasis [in French]. Med Trop Mars 2003; 63:559-563.
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Na-Bangchang K, Doua F, Konsil J, et al. The pharmacokinetics of eflonithine (alpha-difloromethylornithine) in patients with late stage T.b. gambiense sleeping sickness. Eur J Clin Pharmacol 2004; 60:269-278.
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Keiser J, Stich A, Burri C. New drugs for the treatment of human African trypanosomiasis: research and development. Trends Parasitol 2001; 17:42-49.
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Yeates C. DB-289 Immtech International. IDrugs 2003; 6:1086-1093.
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Sturk LM, Brock JL, Bagnell CR, et al. Distribution and quantitation of the anti-trypanosomal diamidine 2,5-bis(4-amidinophenyl)furan (DB75) and its N-methoxy prodrug DB289 in murine brain tissue. Acta Trop 2004; 91:131-143. A particularly interesting paper describing an effective pentamidine analog trypanocide and the potential of a prodrug for the oral treatment of early, and eventually late-stage, sleeping sickness.
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Acta Trop
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On a new test for the diagnosis in the field of the nervous phase of human African trypanosomiasis
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Lejon V, Lardon J, Kepis G. Interleukin (IL)-6, IL-8 and IL-10 in serum and CSF of Trypanosoma brucei gambiense sleeping sickness patients before and after treatment. Trans R Soc Trop Med Hyg 2002; 96:329-333.
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ICPVT Newsletter
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Darsaud A, Bourdon L, Mercier S, et al. 24-hour disruption of the sleep-wake cycle and in a rat model of African trypanosomiasis. Sleep 2004; 27:42-46. Occurrence of SOREM-like episodes could possibly be the first pathognomonic sign for late-stage sleeping sickness and turn out to be a gold standard for the onset of late-stage trypanosomiasis.
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