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Correspondence
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Volume 342:894-895 March 23, 2000 Number 12
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Miltefosine for Visceral Leishmaniasis

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 by Herwaldt, B. L.
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 by Jha, T.K.
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To the Editor: The results reported by Jha et al. (Dec. 9 issue)1 on the use of miltefosine, the long-awaited therapy for visceral leishmaniasis, are convincing and possibly open a new avenue for the treatment of protozoan diseases.

My colleagues and I have described the use of alkylphosphocholines as a completely new approach to antitumor and antileishmanial therapy.2,3 The chemical description and the chemical structure of the molecule provided by Jha et al. are wrong. They state that "miltefosine, a close analogue of lecithin (phosphatidylcholine) in which phosphorylcholine is attached by an ether bond rather than an ester bond to . . . [Full Text of this Article]

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