Meningococcal septicaemia: treatment with protein C concentrate

被引:20
作者
Clarke, RCN [1 ]
Johnston, JR [1 ]
Mayne, EE [1 ]
机构
[1] Royal Victoria Hosp, Reg Intens Care Unit, Belfast BT12 6BA, Antrim, North Ireland
关键词
meningococcal; septicaemia; protein C concentrate;
D O I
10.1007/s001340051184
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Meningococcal septicaemia is a devastating disease with the potential to develop severe vascular complications. The incidence in Northern Ireland has risen from 27 cases notified in 1992 to 56 notified in 1997. We describe the first use of protein C concentrate in addition to antithrombin III infusion in the management of a life-threatening case of meningococcal septicaemia in the Regional Intensive Care Unit, Royal Group of Hospitals, Belfast, UK, The rationale and the evidence to support the use of protein C concentrate are discussed. Despite the apparent efficacy and safety of this treatment, subsequent cases of meningococcal septicaemia have not received protein C concentrate due to a lack of availability.
引用
收藏
页码:471 / 473
页数:3
相关论文
共 9 条
[1]  
CALMAN K, 1994, PLCMO942
[2]   EARLY TREATMENT WITH PARENTERAL PENICILLIN IN MENINGOCOCCAL DISEASE [J].
CARTWRIGHT, K ;
REILLY, S ;
WHITE, D ;
STUART, J .
BMJ-BRITISH MEDICAL JOURNAL, 1992, 305 (6846) :143-147
[3]   AN UPDATE ON CLINICAL AND BASIC ASPECTS OF THE PROTEIN-C ANTICOAGULANT PATHWAY [J].
ESMON, CT ;
SCHWARZ, HP .
TRENDS IN CARDIOVASCULAR MEDICINE, 1995, 5 (04) :141-148
[4]   ADULT OVERWHELMING MENINGOCOCCAL PURPURA - A STUDY OF 35 CASES, 1977-1989 [J].
GIRAUD, T ;
DHAINAUT, JF ;
SCHREMMER, B ;
REGNIER, B ;
DESJARS, P ;
LOIRAT, P ;
JOURNOIS, D ;
LANORE, JJ .
ARCHIVES OF INTERNAL MEDICINE, 1991, 151 (02) :310-316
[5]  
Hodgetts TJ, 1998, J ACCID EMERG MED, V15, P72
[6]   Protein C in the treatment of coagulopathy in meningococcal disease [J].
Rintala, E ;
Seppälä, OP ;
Kotilainen, P ;
Pettilä, V ;
Rasi, V .
CRITICAL CARE MEDICINE, 1998, 26 (05) :965-968
[7]   TREATMENT OF PURPURA FULMINANS IN MENINGOCOCCEMIA WITH PROTEIN-C CONCENTRATE [J].
RIVARD, GE ;
DAVID, M ;
FARRELL, C ;
SCHWARZ, HP .
JOURNAL OF PEDIATRICS, 1995, 126 (04) :646-652
[8]   Activated protein C concentrate for the treatment of meningococcal endotoxin shock in rabbits [J].
Roback, MG ;
Stack, AM ;
Thompson, C ;
Brugnara, C ;
Schwarz, HP ;
Saladino, RA .
SHOCK, 1998, 9 (02) :138-142
[9]   Use of protein-C concentrate, heparin, and haemodiafiltration in meningococcus-induced purpura fulminans [J].
Smith, OP ;
White, B ;
Vaughan, D ;
Rafferty, M ;
Claffey, L ;
Lyons, B ;
Casey, W .
LANCET, 1997, 350 (9091) :1590-1593