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静脉注射膦甲酸钠治疗同种异体移植受者的严重巨细胞病毒感染。

Intravenous foscarnet for the treatment of severe cytomegalovirus infection in allograft recipients.

作者信息

Klintmalm G, Lönnqvist B, Oberg B, Gahrton G, Lernestedt J O, Lundgren G, Ringdén O, Robert K H, Wahren B, Groth C G

出版信息

Scand J Infect Dis. 1985;17(2):157-63. doi: 10.3109/inf.1985.17.issue-2.06.

DOI:10.3109/inf.1985.17.issue-2.06
PMID:2992074
Abstract

Foscarnet, trisodium phosphonoformate, was administered intravenously to 6 immunosuppressed patients with life-threatening cytomegalovirus infection. Three of the patients were recipients of a kidney and 3 of a bone-marrow transplant. Favourable clinical responses were seen in 5 of the patients, 2 of whom were still in good health 5 and 8 months after the infection had cleared up. No toxic effect of the drug was detected. The results seem to justify further trials, in which foscarnet should be introduced at an earlier stage of the disease.

摘要

膦甲酸钠(三钠膦酰甲酸盐)通过静脉注射给予6例患有危及生命的巨细胞病毒感染的免疫抑制患者。其中3例患者接受了肾脏移植,3例接受了骨髓移植。5例患者出现了良好的临床反应,其中2例在感染清除后的5个月和8个月时仍健康状况良好。未检测到该药物的毒性作用。这些结果似乎证明进一步试验是合理的,在试验中应在疾病的更早阶段引入膦甲酸钠。

相似文献

1
Intravenous foscarnet for the treatment of severe cytomegalovirus infection in allograft recipients.静脉注射膦甲酸钠治疗同种异体移植受者的严重巨细胞病毒感染。
Scand J Infect Dis. 1985;17(2):157-63. doi: 10.3109/inf.1985.17.issue-2.06.
2
Sensitivity of cytomegalovirus to intravenous foscarnet treatment.巨细胞病毒对静脉注射膦甲酸钠治疗的敏感性。
Bone Marrow Transplant. 1986 Dec;1(2):215-20.
3
Foscarnet as treatment for cytomegalovirus retinitis following bone marrow transplantation.膦甲酸钠用于骨髓移植后巨细胞病毒性视网膜炎的治疗。
Postgrad Med J. 1988 May;64(751):389-91. doi: 10.1136/pgmj.64.751.389.
4
Foscarnet for treatment of cytomegalovirus infections in bone marrow transplant recipients.膦甲酸用于治疗骨髓移植受者的巨细胞病毒感染。
Scand J Infect Dis. 1992;24(2):143-50. doi: 10.3109/00365549209052604.
5
Clinical experiences with phosphonoformate (foscarnet) treatment of viral diseases following renal transplantation.膦甲酸钠(磷甲酸)治疗肾移植后病毒性疾病的临床经验。
Scand J Urol Nephrol Suppl. 1985;92:41-4.
6
Pharmacokinetics, safety and preliminary clinical experiences using foscarnet in the treatment of cytomegalovirus infections in bone marrow and renal transplant recipients.膦甲酸钠用于治疗骨髓和肾移植受者巨细胞病毒感染的药代动力学、安全性及初步临床经验
J Antimicrob Chemother. 1986 Mar;17(3):373-87. doi: 10.1093/jac/17.3.373.
7
Foscarnet infusion at home.居家进行膦甲酸钠输注。
Lancet. 1988 Dec 3;2(8623):1311. doi: 10.1016/s0140-6736(88)92920-0.
8
Foscarnet infusion at home.在家进行膦甲酸钠输注。
Lancet. 1989 Jan 21;1(8630):156. doi: 10.1016/s0140-6736(89)91167-7.
9
Successful treatment with trisodium phosphonoformate for primary cytomegalovirus infection after heart transplantation.膦甲酸钠三钠成功治疗心脏移植术后原发性巨细胞病毒感染。
J Heart Transplant. 1987 Mar-Apr;6(2):120-2.
10
Treatment of cytomegalovirus pneumonitis with foscarnet (trisodium phosphonoformate) in patients with AIDS.用膦甲酸钠(三钠膦酰甲酸盐)治疗艾滋病患者的巨细胞病毒性肺炎。
J Med Virol. 1987 Jun;22(2):157-62. doi: 10.1002/jmv.1890220206.

引用本文的文献

1
New strategies for prevention and therapy of cytomegalovirus infection and disease in solid-organ transplant recipients.实体器官移植受者巨细胞病毒感染及疾病的预防和治疗新策略。
Clin Microbiol Rev. 2000 Jan;13(1):83-121, table of contents. doi: 10.1128/CMR.13.1.83.
2
Infections in solid-organ transplant recipients.实体器官移植受者的感染
Clin Microbiol Rev. 1997 Jan;10(1):86-124. doi: 10.1128/CMR.10.1.86.
3
Cytomegalovirus infections in renal transplant patients.肾移植患者的巨细胞病毒感染
Int Urol Nephrol. 1994;26(5):587-93. doi: 10.1007/BF02767664.
4
Foscarnet. A reappraisal of its antiviral activity, pharmacokinetic properties and therapeutic use in immunocompromised patients with viral infections.膦甲酸钠。对其在免疫功能低下的病毒感染患者中的抗病毒活性、药代动力学特性及治疗用途的重新评估。
Drugs. 1994 Aug;48(2):199-226. doi: 10.2165/00003495-199448020-00007.
5
Management of infectious and immunological complications of acquired immunodeficiency syndrome (AIDS). Current and future prospects.
Drugs. 1987 Jan;33(1):66-84. doi: 10.2165/00003495-198733010-00004.
6
Bone marrow transplantation and the lung.骨髓移植与肺
Thorax. 1986 Jul;41(7):497-502. doi: 10.1136/thx.41.7.497.
7
Synergistic inhibition of human T-cell lymphotropic virus type III replication in vitro by phosphonoformate and recombinant alpha-A interferon.膦甲酸盐与重组α-A干扰素在体外对人嗜T细胞病毒III型复制的协同抑制作用
Antimicrob Agents Chemother. 1986 Jul;30(1):189-91. doi: 10.1128/AAC.30.1.189.
8
Treatment of CMV retinitis in an AIDS patient.艾滋病患者巨细胞病毒性视网膜炎的治疗。
Br J Ophthalmol. 1987 Nov;71(11):810-6. doi: 10.1136/bjo.71.11.810.
9
Pharmacokinetics of intermittently administered intravenous foscarnet in the treatment of acquired immunodeficiency syndrome patients with serious cytomegalovirus retinitis.间歇性静脉注射膦甲酸钠治疗获得性免疫缺陷综合征合并严重巨细胞病毒性视网膜炎患者的药代动力学
Antimicrob Agents Chemother. 1989 May;33(5):742-5. doi: 10.1128/AAC.33.5.742.
10
Foscarnet treatment of cytomegalovirus retinitis in patients with the acquired immunodeficiency syndrome.膦甲酸钠治疗获得性免疫缺陷综合征患者的巨细胞病毒性视网膜炎。
Antimicrob Agents Chemother. 1989 May;33(5):736-41. doi: 10.1128/AAC.33.5.736.