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[超抗原与中毒性休克综合征。3例静脉注射丙种球蛋白治疗报告]

[Superantigens and toxic shock syndrome. A report of three cases treated with intravenous gammaglobulin].

作者信息

Vázquez García Rubén Eduardo, Hernández Bautista Víctor, Espinosa Padilla Sara

机构信息

Alergólogo e inmunólogo pediatra, Instituto Nacional de Pediatría, México.

出版信息

Rev Alerg Mex. 2006 Sep-Oct;53(5):183-8.

Abstract

The superantigens cause a massive polyclonal activation of T-cells, producing an immense liberation of proinflamatory cytokines, which induces the clinical data of toxic shock syndrome. In international studies the administration of polyclonal intravenous gammaglobulin has been observed to diminish the mortality 50 to 20%. But at the present it has not been reported in Mexico the clinical effectiveness of this therapeutic modality in toxic shock syndrome. We report three cases of toxic shock syndrome treated with gammaglobulin intravenous, and we describe their favorable clinical evolution.

摘要

超抗原可引起T细胞的大规模多克隆激活,产生大量促炎细胞因子释放,从而引发中毒性休克综合征的临床症状。在国际研究中,已观察到静脉注射多克隆免疫球蛋白可使死亡率降低50%至20%。但目前在墨西哥尚未报道这种治疗方式对中毒性休克综合征的临床疗效。我们报告了3例接受静脉注射免疫球蛋白治疗的中毒性休克综合征病例,并描述了其良好的临床进展。

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