Article ; Online: Changes in Inflammatory Markers in Patients Treated for Buruli Ulcer and Their Ability to Predict Paradoxical Reactions.
The Journal of infectious diseases
2023 Volume 228, Issue 11, Page(s) 1630–1639
Abstract: Mycobacterium ulcerans causes Buruli ulcer, the third most frequent mycobacterial disease after tuberculosis and leprosy. Transient clinical deteriorations, known as paradoxical reactions (PRs), occur in some patients during or after antibiotic treatment. ...
Abstract | Mycobacterium ulcerans causes Buruli ulcer, the third most frequent mycobacterial disease after tuberculosis and leprosy. Transient clinical deteriorations, known as paradoxical reactions (PRs), occur in some patients during or after antibiotic treatment. We investigated the clinical and biological features of PRs in a prospective cohort of 41 patients with Buruli ulcer from Benin. Neutrophil counts decreased from baseline to day 90, and interleukin 6 (IL-6), granulocyte colony-stimulating factor, and vascular endothelial growth factor were the cytokines displaying a significant monthly decrease relative to baseline. PRs occurred in 10 (24%) patients. The baseline biological and clinical characteristics of the patients presenting with PRs did not differ significantly from those of the other patients. However, the patients with PRs had significantly higher IL-6 and tumor necrosis factor alpha (TNF-α) concentrations on days 30, 60, and 90 after the start of antibiotic treatment. The absence of a decrease in IL-6 and TNF-α levels during treatment should alert clinicians to the possibility of PR onset. |
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MeSH term(s) | Humans ; Buruli Ulcer/drug therapy ; Prospective Studies ; Tumor Necrosis Factor-alpha ; Interleukin-6 ; Vascular Endothelial Growth Factor A ; Anti-Bacterial Agents/therapeutic use |
Chemical Substances | Tumor Necrosis Factor-alpha ; Interleukin-6 ; Vascular Endothelial Growth Factor A ; Anti-Bacterial Agents |
Language | English |
Publishing date | 2023-05-08 |
Publishing country | United States |
Document type | Journal Article ; Research Support, Non-U.S. Gov't |
ZDB-ID | 3019-3 |
ISSN | 1537-6613 ; 0022-1899 |
ISSN (online) | 1537-6613 |
ISSN | 0022-1899 |
DOI | 10.1093/infdis/jiad176 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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