由塞夫特里亚克松和美罗胺诱导的中性
Zay Yar Aung1, Khaled Elmagraby1, Alexandra Nica1
1Acute Medicine Department, Northampton General Hospital, NHS Trust, Northampton, UK.
European journal of case reports in internal medicine
|July 10, 2024
概括
罕见的中性缺血 (低白细胞计数) 可能发生在抗生素,如 ceftriaxone 和meropenem. 停止药物迅速有助于恢复,但严重的中性质衰竭可能导致危及生命的败血症.
科学领域:
- 药理学 药理学是指药理学的学科.
- 血液学 血液学 血液学
- 传染性疾病 传染性疾病
背景情况:
- 中性症是一种罕见的,特异性的药物不良反应,往往危及生命.
- 塞夫特里亚克松和美罗是常见的宽谱抗生素,具有普遍有利的安全性.
研究的目的:
- 报告一名成年患者中因 ceftriaxone 和 meropenem 引起的中性缺血病例.
- 强调认识到抗生素诱导的中性质减退作为潜在的药物不良影响的重要性.
主要方法:
- 案例报告的呈现方式.
- 临床观察患者对戒药反应的临床观察.
主要成果:
- 在停止服用 ceftriaxone 和 meropenem 后的 48 小时内,中性性衰竭消失了.
- 这一案例说明,即使是常见的抗生素也很少会导致严重的中性质衰竭.
结论:
- 抗生素诱导的中性,虽然不常见与β-乳酸和卡巴胺,可以导致严重的败血症和死亡.
- 迅速停止使用违规抗生素,支持性护理和潜在的粒细胞殖民地刺激因子 (G-CSF) 对于管理药物诱导的中性质衰竭至关重要.
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