与OKT3的使用相关的异体无菌性脑膜炎
M A Martin1, R M Massanari, D D Nghiem
1Department of Medicine, University of Iowa College of Medicine, Iowa City.
JAMA
|April 1, 1988
概括
在接受瘤单克隆抗体OKT3 (muromonab-CD3) 治疗急性异构移植排斥的移植患者中发生了无菌性脑膜炎. 这种情况与OKT3的使用密切相关,并且似乎是自我限制的.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 免疫学 免疫学 免疫学
- 传染性疾病 传染性疾病
背景情况:
- 鼻腔无菌性脑膜炎是免疫受损患者的罕见并发症.
- 鼠单克隆抗体OKT3 (muromonab-CD3) 用于治疗急性脏异体移植排斥.
- 在移植接受者中观察到脑膜炎的爆发.
研究的目的:
- 为了调查移植受体中无菌性脑膜炎的爆发.
- 确定移植患者脑膜炎的潜在风险因素.
- 为了确定OKT3治疗与无菌性脑膜炎之间的关联.
主要方法:
- 追溯病例控制研究,比较患有脑膜炎和没有脑膜炎的患者.
- 进行脑脊液培养,以排除感染原因.
- 在接受OKT3的患者中实施了脑膜炎的前性监测.
主要成果:
- 在OKT3给药后72小时内,四名移植接受者出现了无菌性脑膜炎.
- 从脑脊液中没有分离出任何传染病原体.
- 无菌性脑膜炎与OKT3治疗有很强的关联.
- 在21名接受OKT3.3治疗的患者中,前性监测发现了3例 (14%) 的无菌性脑膜炎.
结论:
- 给予OKT3与移植患者的无菌性脑膜炎的发展密切相关.
- 与OKT3相关的无菌性脑膜炎的临床过程似乎是良性的和自我限制的.
- 需要对脑膜炎的OKT3治疗进行持续监测.
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