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氯唑西林诱导的粒细胞缺乏症:一种常用抗生素的罕见不良反应。

Cloxacillin induced agranulocytosis: A rare adverse event of a commonly used antibiotic.

机构信息

Department of Medicine, Christian Medical College, Vellore, India.

出版信息

Int J Immunopathol Pharmacol. 2017 Sep;30(3):297-301. doi: 10.1177/0394632017724320. Epub 2017 Aug 8.

Abstract

Cloxacillin, a semisynthetic penicillin is a potent inhibitor of most penicillinase-producing Staphylococci. Use of high doses of Cloxacillin for 6 weeks is recommended for the treatment of infective endocarditis caused by methicillin-susceptible Staphylococcus aureus (MSSA). Here, we report a case of Cloxacillin-induced agranulocytosis in a patient treated for MSSA native tricuspid valve endocarditis, which was resolved after discontinuation of the antibiotic. This case report highlights a rare adverse event of a commonly used antibiotic.

摘要

氯唑西林是一种半合成青霉素,是大多数产青霉素酶葡萄球菌的有效抑制剂。对于由耐甲氧西林金黄色葡萄球菌(MSSA)引起的感染性心内膜炎,建议使用高剂量氯唑西林治疗 6 周。在这里,我们报告了 1 例 MSSA 原生三尖瓣心内膜炎患者使用氯唑西林治疗后发生的粒细胞缺乏症,停用抗生素后该不良反应得到解决。本病例报告强调了一种常用抗生素的罕见不良反应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6561/5815267/6cfd51a25bd0/10.1177_0394632017724320-fig1.jpg

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