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一种常见抗结核药物中毒后的癫痫发作

Seizures following Intoxication with a Common Antituberculosis Drug.

作者信息

Lahlou Adnane, Benlamkaddem Saïd, Berdai Mohamed Adnane, Harandou Mustapha

机构信息

Obstetric and Pediatric Intensive Care Unit, Hassan II Academic Hospital, Fez, Morocco.

出版信息

Case Rep Pediatr. 2019 Mar 5;2019:8972574. doi: 10.1155/2019/8972574. eCollection 2019.

Abstract

Isoniazid is an antimycobacterial agent commonly prescribed in most tuberculosis chemotherapy regimens. Its side effects are widely known including mainly liver toxicity and peripheral neuropathy. The toxic effects of isoniazid are dose-related. Toxic doses are estimated at 35-40 mg/kg and fatal doses at 150 mg/kg. Treatment consists primarily of basic life support, antiepileptic drugs, and pyridoxine. The case is of one of the children with intentional isoniazid poisoning, the drug belonging to an uncle currently under antituberculosis treatment, resulting in tonic-clonic seizures. During her hospitalization in the paediatric intensive care unit, her neurological status as well as her lab values was closely monitored, and despite initial deterioration, the patient was discharged from critical care a week after full recovery.

摘要

异烟肼是大多数结核病化疗方案中常用的抗分枝杆菌药物。其副作用广为人知,主要包括肝毒性和周围神经病变。异烟肼的毒性作用与剂量相关。估计中毒剂量为35 - 40毫克/千克,致死剂量为150毫克/千克。治疗主要包括基本生命支持、抗癫痫药物和维生素B6。该病例是一名儿童故意服用异烟肼中毒,药物属于一名正在接受抗结核治疗的叔叔,导致强直阵挛性发作。在她入住儿科重症监护病房期间,密切监测了她的神经状态以及实验室检查值,尽管最初病情恶化,但患者在完全康复一周后从重症监护病房出院。

相似文献

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Seizures following Intoxication with a Common Antituberculosis Drug.一种常见抗结核药物中毒后的癫痫发作
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本文引用的文献

7
Isoniazid-induced status epilepticus in a pediatric patient after inadequate pyridoxine therapy.
Pediatr Emerg Care. 2010 May;26(5):380-1. doi: 10.1097/PEC.0b013e3181db24b6.
10
Acute isoniazid poisoning in childhood.
Am J Dis Child. 1980 Mar;134(3):290-2. doi: 10.1001/archpedi.1980.02130150044011.

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