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[氨苄西林与甲氧苄啶-磺胺甲恶唑联合治疗60岁以上患者的神经脑膜型李斯特菌病]

[Treatment of neuro-meningeal listeriosis in patients over 60 with a combination of ampicillin and trimethoprim-sulfamethoxazole].

作者信息

Becq-Giraudon B, Breux J P

出版信息

Pathol Biol (Paris). 1987 May;35(5):626-8.

PMID:3302872
Abstract

An open retrospect study, including five patients, has been entered on, in order to estimate the efficacity and the tolerance in a more than sixty years old person, of the association ampicillin-cotrimoxazole for the treatment of the meningitis due to Listeria monocytogenes. In the infectious sphere, all the patients recovered; one death, by pulmonary embolism at the 21sh day of evolution, is to be deplored; two erythematous rashes have been observed. These preliminary results are encouraging and incite to carry on the evaluation of this protocol, which could replace the classical therapy; ampicillin-aminoglycosides, where only the ampicillin reaches effective concentrations on the level in the cerebro-spinal fluid.

摘要

已开展一项包括5名患者的开放性回顾性研究,以评估氨苄西林-复方新诺明联合用药对60岁以上单核细胞增生李斯特菌所致脑膜炎患者的疗效和耐受性。在感染方面,所有患者均康复;令人遗憾的是,有1例患者在病程第21天因肺栓塞死亡;观察到2例出现红斑皮疹。这些初步结果令人鼓舞,并促使继续对该方案进行评估,该方案可能会取代经典疗法(氨苄西林-氨基糖苷类,其中只有氨苄西林在脑脊液中达到有效浓度)。

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