Treatment of acute Nipah encephalitis with ribavirin

被引:152
作者
Chong, HT
Kamarulzaman, A
Tan, CT [1 ]
Goh, KJ
Thayaparan, T
Kunjapan, R
Chew, NK
Chua, KB
Lam, SK
机构
[1] Univ Malaya, Med Ctr, Neurol Lab, Dept Med, Kuala Lumpur 59100, Malaysia
[2] Univ Malaya, Med Ctr, Dept Microbiol, Kuala Lumpur 59100, Malaysia
[3] Seremban Hosp, Dept Med, Negeri Sembilan, Malaysia
关键词
D O I
10.1002/ana.1062
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Nipah virus, a newly identified paramyxovirus caused a severe outbreak of encephalitis in Malaysia with high fatalities. We report an open-label trial of ribavirin in 140 patients, with 54 patients who were managed prior to the availability of ribavirin or refused treatment as control. There were 45 deaths (32%) in the ribavirin arm; 29 deaths (54%) occurred in the control arm. This represents a 36% reduction in mortality (p = 0.011). There was no associated serious side effect. This study suggests that ribavirin is able to reduce the mortality of acute Nipah encephalitis.
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页码:810 / 813
页数:4
相关论文
共 16 条
[1]  
[Anonymous], MMWR MORB MORTAL WKL
[2]  
Chua KB, 2000, ANN NEUROL, V48, P802, DOI 10.1002/1531-8249(200011)48:5<802::AID-ANA17>3.3.CO
[3]  
2-D
[4]   Nipah virus: A recently emergent deadly paramyxovirus [J].
Chua, KB ;
Bellini, WJ ;
Rota, PA ;
Harcourt, BH ;
Tamin, A ;
Lam, SK ;
Ksiazek, TG ;
Rollin, PE ;
Zaki, SR ;
Shieh, WJ ;
Goldsmith, CS ;
Gubler, DJ ;
Roehrig, JT ;
Eaton, B ;
Gould, AR ;
Olson, J ;
Field, H ;
Daniels, P ;
Ling, AE ;
Peters, CJ ;
Anderson, LJ ;
Mahy, BWJ .
SCIENCE, 2000, 288 (5470) :1432-1435
[5]   Fatal encephalitis due to Nipah virus among pig-farmers in Malaysia [J].
Chua, KB ;
Goh, KJ ;
Wong, KT ;
Kamarulzaman, A ;
Tan, PSK ;
Ksiazek, TG ;
Zaki, SR ;
Paul, G ;
Lam, SK ;
Tan, CT .
LANCET, 1999, 354 (9186) :1257-1259
[6]   SAFETY, TOLERANCE, AND PHARMACOKINETICS OF SYSTEMIC RIBAVIRIN IN CHILDREN WITH HUMAN-IMMUNODEFICIENCY-VIRUS INFECTION [J].
CONNOR, E ;
MORRISON, S ;
LANE, J ;
OLESKE, J ;
SONKE, RL ;
CONNOR, J .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1993, 37 (03) :532-539
[7]   Clinical features of nipah virus encephalitis among pig farmers in Malaysia. [J].
Goh, KJ ;
Tan, CT ;
Chew, NK ;
Tan, PSK ;
Kamarulzaman, A ;
Sarji, SA ;
Wong, KT ;
Abdullah, BJJ ;
Chua, KB ;
Lam, SK .
NEW ENGLAND JOURNAL OF MEDICINE, 2000, 342 (17) :1229-1235
[8]   PROSPECTIVE, DOUBLE-BLIND, CONCURRENT, PLACEBO-CONTROLLED CLINICAL-TRIAL OF INTRAVENOUS RIBAVIRIN THERAPY OF HEMORRHAGIC-FEVER WITH RENAL SYNDROME [J].
HUGGINS, JW ;
HSIANG, CM ;
COSGRIFF, TM ;
GUANG, MY ;
SMITH, JI ;
WU, ZO ;
LEDUC, JW ;
ZHENG, ZM ;
MEEGAN, JM ;
WANG, QN ;
OLAND, DD ;
GUI, XE ;
GIBBS, PH ;
YUAN, GH ;
ZHANG, TM .
JOURNAL OF INFECTIOUS DISEASES, 1991, 164 (06) :1119-1127
[9]  
HUGGINS JW, 1989, REV INFECT DIS, V11, pS750
[10]   Ribavirin inhibits West Nile virus replication and cytopathic effect in neural cells [J].
Jordan, I ;
Briese, T ;
Fischer, N ;
Lau, JYN ;
Lipkin, WI .
JOURNAL OF INFECTIOUS DISEASES, 2000, 182 (04) :1214-1217