在患有对可纳过敏症的患者中,分级的isavuconazonium硫酸挑战
Mark Biagi1,2, Michael Pierce3, Wendy Harney1
1Department of Pharmacy, UW Health Swedish American Hospital, Rockford, IL, USA.
对像可纳这样的三醇抗真菌药物过敏反应很罕见. 一位患者最初能耐受伊萨武科纳,但在第三次疗程后出现过敏反应,表明潜在的延迟反应.
科学领域:
- 药理学 药理学是指药理学的学科.
- 临床医学 临床医学
- 免疫学 免疫学 免疫学
背景情况:
- 对三抗真菌药物的过敏反应很少被记录.
- 三醇抗真菌剂之间的交叉反应性仍然没有很好的特征.
- 之前接触过可纳促使对 isavuconazole 的耐受性进行调查.
研究的目的:
- 报告一个病例的患者有过敏史对可纳.
- 为了评估 isavuconazole 的安全性和耐受性,先前有过 triazole 反应的患者.
- 描述多次成功服药后对伊萨武科纳的过敏反应的发生.
主要方法:
- 病例报告详细介绍了患者的治疗史与三抗真菌药物.
- 临床观察患者对依萨武可纳连续疗程的反应.
- 在服用伊萨武可纳后出现的不良事件的记录.
主要成果:
- 患者最初能很好地忍受伊萨夫可纳,尽管之前有过由可纳引起的皮疹.
- 成功完成了两个完整的 isavuconazole 疗程,没有任何不良事件.
- 在第三次 isavuconazole 疗程期间出现过敏反应 (皮疹,胸部紧张,呼吸不全,脸红).
结论:
- 伊萨夫可纳可能最初被耐受于有过敏性史的患者.
- 延迟过敏反应对 isavuconazole 即使在之前的成功管理后也可能发生.
- 需要进一步研究,以了解三抗真菌剂的免疫机制和交叉反应模式.
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