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一名新生儿大剂量过量使用两性霉素B后的临床病程及药代动力学

Clinical course and pharmacokinetics following a massive overdose of amphotericin B in a neonate.

作者信息

Koren G, Lau A, Kenyon C F, Kroppert D, Klein J

机构信息

Division of Clinical Pharmacology and Toxicology, Hospital for Sick Children, Toronto, Ontario.

出版信息

J Toxicol Clin Toxicol. 1990;28(3):371-8. doi: 10.3109/15563659008994438.

DOI:10.3109/15563659008994438
PMID:2231836
Abstract

Amphotericin is the drug of choice for the treatment of fungal infections in infants and children. When used in the recommended doses, amphotericin therapy is associated with high rates of adverse effects, including nephrotoxicity, hepatotoxicity, decrease in white blood cells, platelets and hemoglobin, chills, fever and even death (1). We report a case involving a neonate who was exposed to a 50 fold overdose of Amphotericin over a three day period.

摘要

两性霉素是治疗婴幼儿真菌感染的首选药物。按推荐剂量使用时,两性霉素治疗会伴随高比率的不良反应,包括肾毒性、肝毒性、白细胞、血小板和血红蛋白减少、寒战、发热甚至死亡(1)。我们报告了一例涉及一名新生儿的病例,该新生儿在三天内接触了50倍过量的两性霉素。

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Clinical course and pharmacokinetics following a massive overdose of amphotericin B in a neonate.一名新生儿大剂量过量使用两性霉素B后的临床病程及药代动力学
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A Review of Published Cases Regarding the Amphotericin B Deoxycholate Overdose in the Pediatric Population and a Case Report.关于儿科人群中两性霉素B脱氧胆酸盐过量的已发表病例综述及一例病例报告。
Curr Drug Saf. 2025;20(4):415-422. doi: 10.2174/0115748863324253240930043642.
2
Amphotericin B in Pediatrics: Analysis by Age Stratification Suggests a Greater Chance of Adverse Events from 13 Months of Age Onwards.两性霉素 B 在儿科中的应用:按年龄分层分析表明 13 个月及以上儿童发生不良事件的可能性更大。
Paediatr Drugs. 2022 Sep;24(5):513-528. doi: 10.1007/s40272-022-00523-0. Epub 2022 Jul 18.
3
Antifungal agents and therapy for infants and children with invasive fungal infections: a pharmacological perspective.
抗真菌药物及治疗方案在婴幼儿侵袭性真菌感染中的应用:药理学视角。
Br J Clin Pharmacol. 2013 Jun;75(6):1381-95. doi: 10.1111/bcp.12025.
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Antifungal agents for the treatment of systemic fungal infections in children.抗真菌药物治疗儿童系统性真菌感染。
Can J Infect Dis Med Microbiol. 2010 Winter;21(4):e116-21. doi: 10.1155/2010/784549.
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Antifungal agents for the treatment of systemic fungal infections in children.用于治疗儿童全身性真菌感染的抗真菌药物。
Paediatr Child Health. 2010 Nov;15(9):603-15.
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Determinants of aciclovir-induced nephrotoxicity in children.儿童阿昔洛韦诱导肾毒性的决定因素
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