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Predicate | Object |
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rdf:type | |
lifeskim:mentions |
umls-concept:C0007320,
umls-concept:C0017066,
umls-concept:C0021051,
umls-concept:C0023866,
umls-concept:C0070895,
umls-concept:C0085973,
umls-concept:C0086418,
umls-concept:C0205178,
umls-concept:C0205195,
umls-concept:C0205269,
umls-concept:C0238097,
umls-concept:C0282443,
umls-concept:C0677908,
umls-concept:C1552617
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pubmed:issue |
5
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pubmed:dateCreated |
1992-7-16
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pubmed:abstractText |
Cytomegalovirus (CMV) causes life-threatening disseminated infections and in particular vision-threatening infections of the retina in patients with the acquired immunodeficiency syndrome. Ganciclovir currently represents the most frequently used therapy for CMV retinitis. However, cases of ganciclovir-resistant CMV strains have been described, in which foscarnet seems to be an effective alternative. Both drugs have serious toxicities, and relapses frequently occur during maintenance therapy. In a patient with CMV encephalitis, we administered a 3-week combination ganciclovir/foscarnet induction therapy (ganciclovir 5 mg/kg every 12 h; foscarnet 60 mg/kg every 8 h), followed by an alternating maintenance administration of both drugs every other day (ganciclovir 5 mg/kg, foscarnet 120 mg/kg) to reduce toxicity and resistance. This regimen was tolerated well and seemed to be more effective than ganciclovir alone in a patient with CMV encephalitis.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
May
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pubmed:issn |
0941-0198
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
70
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
456-8
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pubmed:dateRevised |
2005-11-16
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pubmed:meshHeading |
pubmed-meshheading:1318131-Acquired Immunodeficiency Syndrome,
pubmed-meshheading:1318131-Adult,
pubmed-meshheading:1318131-Antiviral Agents,
pubmed-meshheading:1318131-Cytomegalovirus,
pubmed-meshheading:1318131-Cytomegalovirus Infections,
pubmed-meshheading:1318131-Drug Administration Schedule,
pubmed-meshheading:1318131-Drug Therapy, Combination,
pubmed-meshheading:1318131-Foscarnet,
pubmed-meshheading:1318131-Ganciclovir,
pubmed-meshheading:1318131-Humans,
pubmed-meshheading:1318131-Male,
pubmed-meshheading:1318131-Meningitis, Viral,
pubmed-meshheading:1318131-Phosphonoacetic Acid
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pubmed:year |
1992
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pubmed:articleTitle |
Combined and alternating ganciclovir and foscarnet in acute and maintenance therapy of human immunodeficiency virus-related cytomegalovirus encephalitis refractory to ganciclovir alone. A case report and review of the literature.
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pubmed:affiliation |
II. Medizinische Klinik, Universitätsklinikum Rudolf Virchow, Freie Universität Berlin.
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pubmed:publicationType |
Journal Article,
Review,
Case Reports
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