adverse reaction

不良反应
  • 文章类型: Case Reports
    康替唑胺是一种新型的恶唑烷酮抗菌剂,但尚无关于结核病治疗相关临床研究的报道.这是对三名成功接受康奈唑胺治疗的结核病患者的第一份报告。
    病例1为肺结核并发骨髓抑制综合征。病例2为耐药结核病并发肝硬化和贫血。病例3为耐药结核病合并肝移植,利奈唑胺治疗后出现严重贫血。康奈唑胺治疗后,三个病人的症状明显改善,未观察到不良反应。胸部计算机断层扫描(CT)检查还表明,这种抗TB方案的治疗效果如预期的那样。
    康替唑胺在结核病治疗中显示出良好的疗效和较少的副作用。这可能是一种有希望的结核病治疗方法。
    UNASSIGNED: Contezolid is a novel oxazolidinone antibacterial agent, but there have been no reports of any pertinent clinical studies for the treatment of tuberculosis (TB). This was the first report of three TB patients who were successfully treated with contezolid.
    UNASSIGNED: Case 1 was TB complicated by myelosuppression syndrome. Case 2 was drug-resistant TB complicated by cirrhosis and anemia. Case 3 was drug-resistant TB complicated by liver transplantation that developed severe anemia after linezolid treatment. Following contezolid therapy, the three patients\' symptoms improved significantly, and no adverse reactions were observed. The chest computed tomography (CT) examination also indicated that the therapeutic effect of this anti-TB regimen was as expected.
    UNASSIGNED: Contezolid showed good efficacy and fewer side effects in the treatment of TB. It may be a promising TB treatment.
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  • 文章类型: Case Reports
    2019年新型冠状病毒感染对世界造成了重大损害。疫苗的有效性和安全性,控制疫情最关键的措施,引起了注意。在这种情况下,我们报道了一例罕见的COVID-19疫苗不良反应患者的诊断和治疗情况,该患者通过基因检测发现G6PD缺乏症.我们讨论了G6PD缺乏对COVID-19感染的可能影响和潜在的疫苗不良反应。应监测严重G6PD缺乏症患者的疫苗安全性。本文可能补充疫苗副作用和化疗相关副作用的罕见机制。
    The 2019 novel coronavirus infection has done significant damage to the world. The effectiveness and safety of the vaccine, the most critical measure to control the epidemic, has attracted attention. In this case, we report the diagnosis and treatment of a rare patient with adverse effects of the COVID-19 vaccine who had G6PD deficiency by genetic tests. We discuss the possible impact of G6PD deficiency on COVID-19 infection and potential vaccine adverse effects. Patients with severe G6PD deficiency should be monitored for vaccine safety. This article may complement a rare mechanism of vaccine side effects and chemotherapy-related side effects.
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  • 文章类型: Journal Article
    麻风反应是导致严重神经损伤和残疾的主要途径。这些反应可以在任何时间发生。2019年冠状病毒病(新冠肺炎)大流行导致了灾难性的生命损失,并对麻风病患者造成了毁灭性的影响。
    通过文献综述,深入了解麻风病患者在新冠肺炎疫苗接种后获得的不良反应。
    在2021年7月至2022年6月之间发布的研究中,使用系统审查和Meta分析扩展的首选报告项目进行了范围审查(PRISMA-ScR)清单。
    使用搜索策略,共找到130篇文章,其中五个与研究有关。不良反应多见于男性[9例(81.8%)];其中大部分属于边缘性结核样[4例(36.4%)],其中大多数已从治疗中释放(多种药物治疗)[7(63.6%)]。
    免疫接种后不良事件(AEFI)的监测和管理至关重要;即使是轻微的AEFI也应报告并记录在行列表中。
    UNASSIGNED: Leprosy reactions are the main pathway leading to severe nerve damage and disability. These reactions can occur at any time. The coronavirus disease 2019 (Covid-19) pandemic led to a catastrophic loss of human life and has had a devastating impact on persons affected by leprosy.
    UNASSIGNED: To achieve deep insight into the subject of adverse reactions acquired after Covid vaccinations in persons affected by leprosy through a literature review.
    UNASSIGNED: A scoping review was conducted in the studies published between July 2021 and June 2022 using the Preferred Reporting Items for Systematic Review and Meta-Analysis Extension for Scoping Reviews (PRISMA-ScR) checklist.
    UNASSIGNED: Using the search strategy, a total of 130 articles were found, of which five were relevant to the study. The adverse reactions were acquired mostly in males [9 (81.8%)]; the majority of them belong to borderline tuberculoid [4 (36.4%)], and most of them were released from treatment (multi-drug therapy) [7 (63.6%)].
    UNASSIGNED: Surveillance and management of adverse events following immunization (AEFI) are essential; even minor AEFI should be reported and documented in a line list.
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  • 文章类型: Review
    Echinococcosis is a zoonotic parasitic disease caused by infection with Echinococcus species. As the drug of first choice for treatment of echinococcosis, albendazole suffers from problems of large doses and remarkable adverse reactions in clinical therapy. Development of novel drugs against echinococcosis is of urgent need. Recently, great advances have been achieved in the research on traditional Chinese medicine for treatment of echinococcosis. This review summarizes the progress of researches on traditional Chinese medicine for treatment of echinococcosis, aiming to provide insights into development of anti-echinococcosis drugs.
    [摘要] 棘球蚴病是由棘球绦虫幼虫感染导致的一种人兽共患寄生虫病。阿苯哒唑作为棘球蚴病的首选治疗药物, 临 床治疗中通常需大剂量服用, 且不良反应明显, 因此新型抗棘球蚴药物开发显得尤为必要。近年来, 中药治疗棘球蚴病 研究取得新进展。本文就中药治疗棘球蚴病研究进展进行综述, 以期为抗棘球蚴病药物研发提供参考。.
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  • 文章类型: Review
    我们遇到了一名27岁的女性患者,她在第一剂COVID-19疫苗后出现难治性严重头痛和畏光。尽管她以前有偏头痛史,我们诊断为COVID-19疫苗诱导的无菌性脑膜炎。甲基强的松龙治疗后症状明显缓解。在回顾文献时,我们只能找到9个类似的病例,其中超过一半影响20-40岁的女性。虽然不常见,COVID-19疫苗接种后头痛持续发作或迟发的患者应怀疑无菌性脑膜炎.
    We encountered a-27-year-old female patient who developed refractory severe headache and photophobia after the first dose of COVID-19 vaccine. Despite her prior history of migraine, we diagnosed COVID-19 vaccine-induced aseptic meningitis. Symptoms were significantly resolved after methylprednisolone therapy. On reviewing the literature, we could find only nine similar cases, with over half of them affecting women aged 20-40 years. Although uncommon, aseptic meningitis should be suspected in patients with persistent or delayed onset of headache following COVID-19 vaccination.
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  • 文章类型: Journal Article
    背景:随着世界上接种COVID-19疫苗的人群增加,不良反应的报道越来越多。有关于COVID-19疫苗接种对化妆品填充物或假体的影响的逐渐报道,但尚未根据其临床形态学模式对其进行审查。本文就COVID-19疫苗接种后植入化妆品不良反应的研究进展作一综述。
    方法:我们研究了截至2022年10月15日的英文文献,使用预定义的关键词来确定有关COVID-19疫苗接种后美容植入物不良反应的相关研究,收集患者特征,植入物类型,疫苗接种和植入或注射之间的时间间隔,发病时间,症状,治疗,和结果。
    结果:在与COVID-19疫苗接种相关的植入物不良反应中,我们区分了(1)可注射填充剂和(2)外科假体植入物。最常见的不良反应是辉瑞疫苗接种后透明质酸注射部位和乳房假体部位,主要是DIRs,主要表现为水肿,皮疹,发烧,和包膜挛缩。本文还报道了可能的原因,DIR的治疗,以及当前研究的局限性。
    结论:在本文中,我们试图调查和讨论目前文献中与COVID-19疫苗接种相关的所有美容植入物的不良反应,揭开这些反应,并对疫苗安全性进行更准确的评估。
    BACKGROUND: As the world\'s population of people vaccinated with the COVID-19 vaccine increases, adverse reactions are increasingly being reported. There have been progressive reports of the effects of COVID-19 vaccination on cosmetic fillers or prostheses, but they have not been reviewed based on their clinical morphologic patterns. This article reviewed the progress of research on adverse reactions to cosmetic implants after COVID-19 vaccination.
    METHODS: We researched the English-language literature up to October 15, 2022, using predefined keywords to identify relevant studies about adverse reactions to cosmetic implants after the COVID-19 vaccination, collecting patient characteristics, implant type, the time interval between vaccination and implantation or injection, time of onset, symptoms, treatments, and outcomes.
    RESULTS: Among the adverse reactions to implants associated with COVID-19 vaccination, we distinguished between (1) injectable fillers and (2) surgical prosthetic implants. The most common adverse reactions were at the site of hyaluronic acid injection and breast prosthesis after Pfizer vaccination, mainly DIRs, and mainly manifested as edema, rash, fever, and capsular contracture. This paper also reported the possible causes, treatments of DIRs, and limitations of current studies.
    CONCLUSIONS: In this article, we attempted to investigate and discuss all the adverse reactions of cosmetic implants related to COVID-19 vaccination in the current literature, to unmask these reactions and make a more accurate assessment of vaccine safety.
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  • 文章类型: Journal Article
    弓形虫是一种寄生虫,广泛分布于全球各地,可引起脑部炎症,特别是在免疫抑制患者中,例如被诊断患有人类免疫缺陷病毒(HIV)的患者。本文就阿奇霉素和乙胺嘧啶联合治疗HIV合并脑弓形体病的疗效进行综述。
    本综述的研究范围仅限于1992年至2022年,主要是随机研究。在线科学期刊数据库上提供的对照临床试验。作者筛选了符合条件的记录进行审查,剔除不符合纳入和排除标准的患者.通过用于随机试验的Cochrane偏倚风险工具分析提取数据的偏倚风险。
    广泛搜索主要的在线数据库,例如PubMed,Medline,谷歌学者,和Cochrane使用关键字,限制字段,和布尔运算符产生了3130篇文章。在彻底筛选搜索结果之后,本综述包括两项研究.综述中的研究结果表明,阿奇霉素和乙胺嘧啶的联合治疗对脑弓形体病有利。然而,净疗效低于标准治疗方案(乙胺嘧啶和磺胺嘧啶).
    阿奇霉素和乙胺嘧啶的联合治疗比维持治疗脑弓形体病的标准治疗方案效果差;因此,必须谨慎使用这些药物治疗这种适应症。
    UNASSIGNED: Toxoplasma gondii is a parasite that is widely distributed around the globe and can cause brain inflammation, particularly in immunosuppressed patients such as those diagnosed with human immunodeficiency virus (HIV). This paper reviews the efficacy of azithromycin and pyrimethamine combination therapy for cerebral toxoplasmosis in patients with HIV.
    UNASSIGNED: The scope of the studies included in this review was limited from 1992 to 2022, with studies primarily being randomized, controlled clinical trials available on online scientific journal databases. The authors screened eligible records for review, removing those that did not fit the inclusion and exclusion criteria. The risk of bias of the extracted data was analyzed through the Cochrane risk-of-bias tool for randomized trials.
    UNASSIGNED: A broad search of major online databases such as PubMed, Medline, Google Scholar, and Cochrane using keywords, limit fields, and Boolean operators yielded 3,130 articles. After thoroughly screening the search results, two studies were included in this review. Results from the studies included in the review demonstrate that the combination therapy of azithromycin and pyrimethamine is favorable for cerebral toxoplasmosis. However, the net response is less effective than the standard treatment regimen (pyrimethamine and sulfadiazine).
    UNASSIGNED: The combination therapy of azithromycin and pyrimethamine is less effective than the standard treatment regimen for maintenance therapy for cerebral toxoplasmosis; thus, administering these medications for this indication must be met with caution.
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  • 文章类型: Meta-Analysis
    本荟萃分析旨在评估氟康唑预防极低出生体重儿(VLBWI)侵袭性真菌感染的有效性和安全性,为临床应用提供依据。详细搜索Pubmed,Embase,CochraneLibrary和其他数据库仔细筛选合格的随机对照临床研究,以评估氟康唑在极低出生体重婴儿侵袭性真菌感染发生率方面的安全性和有效性。真菌定植率,和死亡率。我们的研究表明,氟康唑的应用不会导致患者无法耐受的不良反应。氟康唑可有效预防极低出生体重儿的侵袭性真菌感染,无严重不良反应。氟康唑在极低出生体重婴儿中的剂量和频率仍需要在随后的研究中进行评估。
    This meta-analysis aimed to assess the efficacy and safety of fluconazole for the prevention of invasive fungal infections (IFI) in very low birth weight infants (VLBWI) and to provide a basis for the clinical use. A detailed search of Pubmed, Embase, Cochrane Library and other databases was performed to carefully screen eligible randomized controlled clinical studies to assess the safety and efficacy of fluconazole in very low birth weight infants in terms of the incidence of invasive fungal infections, fungal colonization rate, and mortality. Our research indicated that the application of fluconazole did not result in intolerable adverse reactions in patients. Fluconazole is effective in preventing invasive fungal infections in very low birth weight infants without serious adverse effects. The dose and frequency of fluconazole in very low birth weight infants still needs to be evaluated in consequent studies.
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  • 文章类型: Systematic Review
    静脉免疫球蛋白(IVIg),用于治疗多种神经系统疾病,可能与严重的不良反应有关。与不良反应相关的个体神经系统疾病特征,以及预防和治疗不良反应的策略,不确定。对PubMed数据库进行了系统审查,Embase,和Cochrane图书馆总结了报告神经系统疾病患者IVIg治疗不良反应的研究。有65项研究纳入审查。报告的不良反应发生率差异很大,但最好的证据表明,每名患者的发病率在25%到34%之间。常见的不良反应包括头痛和实验室异常。不太常见但严重的不良反应包括血栓栓塞并发症和过敏反应。总的来说,目前缺乏高质量的比较数据来明确确定任何特定的神经系统适应症是否与较高的不良反应风险相关.然而,可能与不良反应可能性增加相关的个体神经系统疾病特征包括活动受限(如某些神经肌肉疾病),副蛋白血症(如某些周围神经病),和心肌病(如某些肌病)。有有限的证据支持预防和治疗策略的有效性,其中可能包括剂量的修改,降低输注速率,和预用药。需要进一步研究预防和治疗神经病患者IVIg-AR的方法。
    Intravenous immunoglobulin (IVIg), which is used to treat multiple neurological conditions, may be associated with serious adverse reactions. The individual neurological disease characteristics associated with adverse reactions, along with strategies to prevent and treat adverse reactions, are uncertain. A systematic review was conducted of the databases PubMed, Embase, and Cochrane Library to summarise studies that report adverse reactions of IVIg therapy in patients with neurological disease. There were 65 studies included in the review. The reported rates of adverse reactions vary widely, but the best evidence suggests rates between 25 and 34% per patient. Common adverse reactions include headache and laboratory abnormalities. Less common but serious adverse reactions included thromboembolic complications and anaphylaxis. Overall, there is a lack of high-quality comparative data to definitively determine if any specific neurological indications are associated with a higher risk of adverse reactions. However, individual neurological disease characteristics possibly associated with an increased likelihood of adverse reactions include limited mobility (as in certain neuromuscular conditions), paraproteinaemia (as in certain peripheral neuropathies), and cardiomyopathy (as in certain myopathies). There is limited evidence to support the effectiveness of prevention and treatment strategies, which may include modification to dose, reduced infusion rate, and premedication. Further studies regarding methods to prevent and treat IVIg-ARs in neurology patients are required.
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  • 文章类型: Journal Article
    诊断和治疗输血并发症没有国际标准或规范化。我们综合比较了儿童和成人不良输血的发生率。
    从几个电子数据库中收集了2021年11月27日之前儿童和成人输血不良反应的可用文献。这项荟萃分析使用Revman5.2和Stata15.1进行。
    儿童输血反应的发生率高于成人。输注红细胞和血小板的儿童的输血反应发生率高于成人。此外,儿童过敏性和高热非溶血性输血反应的发生率明显高于成人.一些罕见的输血反应的发生率在儿童中也明显高于成人。
    儿童和成人输血反应的发生率各不相同。儿童指南是必要的。
    There are no international standards or normalizations for diagnosing and treating complications from blood transfusions. We comprehensively compared the incidence of adverse blood transfusions in children and adults.
    Available literature on blood transfusion adverse reactions in children and adults prior to November 27, 2021 was collected from several electronic databases. This meta-analysis was performed using Revman 5.2 and Stata 15.1.
    The incidence of transfusion reactions is higher in children than in adults. Children transfused with red blood cells and platelets exhibited a higher incidence of transfusion reaction than that of adults. Moreover, the incidence of allergic and febrile non-hemolytic transfusion reactions was significantly higher in children than in adults. The incidence of some rare transfusion reactions was also significantly higher in children than in adults.
    The incidence of transfusion reactions in children and adults is varied. Guidelines for children are necessary.
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