RESUMO
The Aspergillus galactomannan test is a valuable tool in the diagnosis of invasive aspergillosis. We hereby report a high rate of false-positive results by the Platelia Aspergillus galactomannan antigen test (Bio-Rad Laboratories) for patients treated with amoxicillin-clavulanate.
Assuntos
Combinação Amoxicilina e Clavulanato de Potássio/uso terapêutico , Antígenos de Fungos/sangue , Aspergilose/diagnóstico , Aspergillus/isolamento & purificação , Mananas/sangue , Aspergilose/microbiologia , Aspergillus/imunologia , Ensaio de Imunoadsorção Enzimática , Reações Falso-Positivas , Galactose/análogos & derivados , Humanos , Mananas/imunologiaAssuntos
Acenocumarol/farmacocinética , Anticoagulantes/farmacocinética , Nutrição Enteral/efeitos adversos , Interações Alimento-Droga , Acenocumarol/efeitos adversos , Anticoagulantes/efeitos adversos , Relação Dose-Resposta a Droga , Vias de Administração de Medicamentos , Alimentos Formulados , HumanosRESUMO
Amitraz, 1,5 di-(2,4-dimethylphenyl)-3-methyl-1,3,5-triaza-penta-1,4-diene, a formamidine pesticide, is used worldwide. It causes side-effects in animals that resemble those caused by pure alpha 2-adrenergic agonist drugs such as clonidine. Data on poisonings in humans are scanty. We report on a case of human poisoning with amitraz with typical signs of alpha 2-adrenoreceptor stimulation.
Assuntos
Inseticidas/intoxicação , Toluidinas/intoxicação , Pressão Sanguínea/efeitos dos fármacos , Bradicardia/induzido quimicamente , Coma/induzido quimicamente , Frequência Cardíaca/efeitos dos fármacos , Humanos , Masculino , Pessoa de Meia-Idade , Receptores Adrenérgicos alfa 2/efeitos dos fármacos , Toluidinas/sangue , Toluidinas/farmacocinéticaRESUMO
CASE REPORT: We report a successfully treated case of severe thallium intoxication. In spite of very high serum thallium (5,240 micrograms/L), symptomatology was minor and recovery complete. Prussian Blue was administered, diuresis was enhanced by intravenous fluids and a prolonged hemodialysis was started early. High blood flows (300 mL/min) and intravenous potassium chloride supplements, to mobilize thallium from the tissues, resulted in good clearances (96 to 150 mL/min). In order to prevent the well known complications, we recommend aggressive treatment of severe thallium intoxication.