Source:http://linkedlifedata.com/resource/pubmed/id/21495924
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
2011-4-18
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pubmed:abstractText |
OBJECTIVE: In this article, we report and discuss the clinical presentation and management of idiosyncratic drug-induced agranulocytosis (neutrophil count <0.5 × 10(9)/l). RESULTS/CONCLUSIONS: Idiosyncratic drug-induced agranulocytosis remains a potentially serious adverse event owing to the frequency of severe sepsis with severe deep tissue infections (e.g., pneumonia), septicemia and septic shock in approximately two-thirds of all hospitalized patients. However, several prognostic factors have recently been identified that may be helpful in practice to identify 'susceptible' patients. Old age (>65 years), septicemia or shock, metabolic disorders such as renal failure and a neutrophil count below 0.1 × 10(9)/l are currently consensually accepted as poor prognostic factors. In this potentially life-threatening disorder, modern management with broad-spectrum antibiotics and hematopoietic growth factors (particularly granulocyte colony-stimulating factor) is likely to improve prognosis. Thus, with appropriate management, the mortality rate from idiosyncratic drug-induced agranulocytosis is currently approximately 5%.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Anti-Bacterial Agents,
http://linkedlifedata.com/resource/pubmed/chemical/Antithyroid Agents,
http://linkedlifedata.com/resource/pubmed/chemical/Fibrinolytic Agents,
http://linkedlifedata.com/resource/pubmed/chemical/Granulocyte Colony-Stimulating...,
http://linkedlifedata.com/resource/pubmed/chemical/Granulocyte-Macrophage...
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pubmed:status |
MEDLINE
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pubmed:month |
Apr
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pubmed:issn |
1747-4094
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pubmed:author | |
pubmed:issnType |
Electronic
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pubmed:volume |
4
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
143-51
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pubmed:meshHeading |
pubmed-meshheading:21495924-Age Factors,
pubmed-meshheading:21495924-Agranulocytosis,
pubmed-meshheading:21495924-Anti-Bacterial Agents,
pubmed-meshheading:21495924-Antithyroid Agents,
pubmed-meshheading:21495924-Diagnosis, Differential,
pubmed-meshheading:21495924-Fibrinolytic Agents,
pubmed-meshheading:21495924-Granulocyte Colony-Stimulating Factor,
pubmed-meshheading:21495924-Granulocyte-Macrophage Colony-Stimulating Factor,
pubmed-meshheading:21495924-Humans,
pubmed-meshheading:21495924-Leukocyte Count,
pubmed-meshheading:21495924-Neutrophils,
pubmed-meshheading:21495924-Pneumonia,
pubmed-meshheading:21495924-Renal Insufficiency,
pubmed-meshheading:21495924-Risk Factors,
pubmed-meshheading:21495924-Sepsis
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pubmed:year |
2011
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pubmed:articleTitle |
Clinical presentation and management of drug-induced agranulocytosis.
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pubmed:affiliation |
Department of Internal Medicine B, University Hospital of Strasbourg, 1 Porte de l'Hôpital, Strasbourg Cedex, France. emmanuel.andres@chru-strasbourg.fr
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pubmed:publicationType |
Journal Article
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