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噻氯匹定所致骨髓抑制和克雷伯菌肺炎败血症及用非格司亭成功治疗:病例报告

Bone marrow suppression and klebsiella pneumonia septicemia due to ticlopidine and successful treatment with filgrastim; a case report.

作者信息

Korkmaz M E, Cekin A H

出版信息

Int J Cardiol. 1998 Oct 30;66(3):317-8. doi: 10.1016/s0167-5273(98)00219-8.

DOI:10.1016/s0167-5273(98)00219-8
PMID:9874086
Abstract

In this report we describe an elderly lady, who after 27 days of ticlopidine treatment developed severe pancytopenia and gram (-) septicemia. No clinical response was obtained with an eight days course of empirical broad spectrum antibiotics, after which granulocyte colony stimulating factor (G-CSF, filgrastim) added to her regimen. In a period of seven days her neutrophil count was normal and she had recovered from septicemia. Twelve weeks after discharge she is fine and her blood parameters are all normal.

摘要

在本报告中,我们描述了一位老年女性,她在接受噻氯匹定治疗27天后出现了严重的全血细胞减少症和革兰氏阴性败血症。经验性使用广谱抗生素治疗8天未获得临床缓解,之后在她的治疗方案中加入了粒细胞集落刺激因子(G-CSF,非格司亭)。在7天的时间里,她的中性粒细胞计数恢复正常,败血症也已康复。出院12周后,她情况良好,血液参数均正常。

相似文献

1
Bone marrow suppression and klebsiella pneumonia septicemia due to ticlopidine and successful treatment with filgrastim; a case report.噻氯匹定所致骨髓抑制和克雷伯菌肺炎败血症及用非格司亭成功治疗:病例报告
Int J Cardiol. 1998 Oct 30;66(3):317-8. doi: 10.1016/s0167-5273(98)00219-8.
2
Granulocyte colony stimulating factor treatment for delayed recovery of ticlopidine-related neutropenia.粒细胞集落刺激因子治疗噻氯匹定相关中性粒细胞减少症的延迟恢复
Int J Clin Pract. 2002 Jan-Feb;56(1):70-1.
3
[Bone marrow aplasia associated to the use of ticlopidine].[与噻氯匹定使用相关的骨髓再生障碍]
Rev Med Chil. 2002 Jul;130(7):798-802. doi: 10.4067/S0034-98872002000700013.
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Pseudomonas bacteremia precipitated by ticlopidine-induced neutropenia.
Ann Pharmacother. 1996 Mar;30(3):246-8. doi: 10.1177/106002809603000307.
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Ticlopidine induced agranulocytosis managed with granulocyte colony stimulating factor.噻氯匹定诱导的粒细胞缺乏症采用粒细胞集落刺激因子进行治疗。
N Z Med J. 1998 Mar 13;111(1061):81-2.
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[Ticlopidine-induced pancytopenia: therapy of agranulocytosis with granulocyte colony stimulating factor].
Med Klin (Munich). 1996 Jun 15;91(6):417-9.
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Effects of molgramostim, filgrastim and lenograstim in the treatment of myelokathexis.莫拉司亭、非格司亭和来格司亭治疗粒细胞缺乏症的效果。
Pflugers Arch. 2000;440(5 Suppl):R81-2.
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Ticlopidine-induced aplastic anemia and quick recovery with G-CSF: case report and literature review.
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Ticlopidine-associated pancytopenia: implications of an acetylsalicylic acid alternative.噻氯匹定相关全血细胞减少症:乙酰水杨酸替代药物的影响
Can J Cardiol. 1997 Oct;13(10):909-13.
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[The use of a colony-stimulating factor (G-CSF) in iatrogenic neutropenias].[集落刺激因子(G-CSF)在医源性中性粒细胞减少症中的应用]
An Med Interna. 1992 Dec;9(12):624.

引用本文的文献

1
Hematologic dyscrasia associated with ticlopidine therapy: evidence for causality.噻氯匹定治疗相关的血液系统异常:因果关系的证据。
CMAJ. 2000 Nov 28;163(11):1441-8.