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新生儿全身性念珠菌病:两名新生儿对静脉注射咪康唑无反应

Neonatal systemic candidiasis: a failure to respond to intravenous miconazole in two neonates.

作者信息

McDougall P N, Fleming P J, Speller D C, Daish P, Speidel B D

出版信息

Arch Dis Child. 1982 Nov;57(11):884-6. doi: 10.1136/adc.57.11.884.

DOI:10.1136/adc.57.11.884
PMID:7149766
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1628032/
Abstract

Two extremely preterm infants undergoing intensive care who developed systemic candidiasis are reported. Each was treated initially with intravenous miconazole. One child initially responded, but relapsed after the miconazole was stopped. The second child showed evidence of progression of the disease during treatment. Both infants responded to a combined course of amphotericin B and 5-fluorocytosine. We consider that miconazole is not the drug of first choice in the treatment of neonatal systemic candidiasis.

摘要

报道了两名接受重症监护的极早产儿发生全身性念珠菌病的病例。两名患儿最初均接受静脉注射咪康唑治疗。一名患儿最初有反应,但在停用咪康唑后复发。第二名患儿在治疗期间出现病情进展的迹象。两名婴儿对两性霉素B和5-氟胞嘧啶联合疗程均有反应。我们认为咪康唑不是治疗新生儿全身性念珠菌病的首选药物。

相似文献

1
Neonatal systemic candidiasis: a failure to respond to intravenous miconazole in two neonates.新生儿全身性念珠菌病:两名新生儿对静脉注射咪康唑无反应
Arch Dis Child. 1982 Nov;57(11):884-6. doi: 10.1136/adc.57.11.884.
2
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Neonatal systemic candidiasis treated miconazole.新生儿全身性念珠菌病用咪康唑治疗。
Arch Dis Child. 1980 Nov;55(11):903-6. doi: 10.1136/adc.55.11.903.
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[Cryptococcosis of the central nervous system: evaluation of amphotericin-B, 5-fluorocytosine and miconazole therapy in 18 cases].[中枢神经系统隐球菌病:18例两性霉素B、5-氟胞嘧啶和咪康唑治疗的评估]
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本文引用的文献

1
Laboratory evaluation of antifungal agents: a comparative study of five imidazole derivatives of clinical importance.抗真菌药物的实验室评估:五种具有临床重要性的咪唑衍生物的比较研究。
J Antimicrob Chemother. 1980 Nov;6(6):749-61. doi: 10.1093/jac/6.6.749.
2
Neonatal systemic candidiasis treated miconazole.新生儿全身性念珠菌病用咪康唑治疗。
Arch Dis Child. 1980 Nov;55(11):903-6. doi: 10.1136/adc.55.11.903.
3
Neonatal systemic candidiasis treated with miconazole.咪康唑治疗新生儿全身性念珠菌病。
Br Med J. 1980 Aug 2;281(6236):354. doi: 10.1136/bmj.281.6236.354.
4
Candida meningitis in newborn infants: a review and report of combined amphotericin B--flucytosine therapy.新生儿念珠菌性脑膜炎:两性霉素B联合氟胞嘧啶治疗的综述与报告
Johns Hopkins Med J. 1978 May;142(5):155-60.
5
Candida albicans meningitis in a premature neonate successfully treated with 5-fluorocytosine and amphotericin B: a case report and review of the literature.用5-氟胞嘧啶和两性霉素B成功治疗的早产儿白色念珠菌脑膜炎:病例报告及文献复习
Pediatrics. 1978 Jan;61(1):57-61.