Lesson 18, Topic 6
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Prognosis
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- Asymptomatic individuals
- response to therapy is excellent
- Individuals with mild to moderate disease
- response to therapy is usually excellent
- although all worms are rarely killed, the marked reduction in parasite burden results in a marked improvement of pulmonary function
- Individuals with severe right heart failure
- one can be cautiously optimistic about the response to therapy. With support for heart failure, and using a three injection protocol of melarsomine to promote a graded worm kill effect, most individuals usually respond
- Individuals with severe chronic interstitial disease
- may have persistent residual cough