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Table 2 Onchocerciasis – SAEs, Drugs administered and the Level of Attribution

From: Clinical picture and outcome of Serious Adverse Events in the treatment of Onchocerciasis

Category/Adverse event

Drug and Level of Attribution*

 

Mectizan®

DEC

Metrifonate

Suramin

Amocarzine

Death

1

2

1

4**

1

Syndromes of collapse

     

   "Therapeutic shock"

1

4

4

1

1

   Recurrent SSPH

4

4

4

1

4

Idiosyncratic

1

1

1

4

1

Dermatology/Skin

     

   Hyper-reactive response

4

4

1

1

1

   Exfoliative dermatitis

1

1

1

4

1

Lymphatic syndromes

4

4

4

1

4

Gastrointestinal

     

   Abdominal colic

1

1

4

1

1

   GIT† ulceration

1

1

1

4

1

   Chronic diarrhoea

1

1

1

4

1

Pulmonary

     

   Bronchospasm

3

1

3

1

1

   Bronchial ulceration

1

1

1

4

1

Musculoskeletal

     

   Acute polyarthritis

1

4

4

1

1

   Subacute polyarthritis

1

1

1

4

1

   Hip immobilization

1

1

1

4

1

Neurological

     

   Cerebrotoxicity

1

1

1

1

4

   Vertigo

1

3

1

1

1

   Parkinsonian-like state

1

3

1

1

1

   Proximal muscle weakness

1

1

4

1

1

Constitutional symptoms

     

   Prolonged fever

1

1

1

4

1

   Prolonged fatigue

1

1

1

4

1

   Asthenia

1

1

1

4

1

   Prostration

1

4

1

4

1

Hepatic

     

   Jaundice

1

1

1

2

2

   Ocular/visual incapacity

1

4

1

4

1

  1. * Level of attribution 1 = not related (or not described); 2 = unlikely; 3 = possible; 4 = probable; 5 = most probable ** Late deaths possibly related to treatment (Level 3). †GIT = gastrointestinal tract