首页> 外文期刊>European journal of gastroenterology and hepatology >Leukotriene inhibitors in combination with steroids: potential role in the development of primary bacterial peritonitis.
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Leukotriene inhibitors in combination with steroids: potential role in the development of primary bacterial peritonitis.

机译:白三烯抑制剂与类固醇的组合:在原发性细菌性腹膜炎发展中的潜在作用。

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Leukotrienes play a role in inflammation, and their participation in airway inflammation and bronchoconstriction in patients with severe asthma can be ameliorated by a new class of drugs known as leukotriene modulators. The role of leukotrienes in increasing vascular permeability in experimental peritonitis and in inducing chemotaxis of inflammatory cells has recently been documented. Steroids have been incriminated in the development of bacterial translocation in animal models in association with the suppression of mucosal immunity. The development of spontaneous bacterial peritonitis is recognized in cirrhotic patients with ascites and in those with nephrotic syndrome. The onset of bacterial peritonitis in the absence of these predisposing conditions or other underlying cause, such as perforated viscus, is termed 'primary bacterial peritonitis', and has never been described in asthmatic patients. We present an asthmatic patient who developed primary bacterial peritonitis while receiving a leukotrienemodulator in combination with prednisolone therapy. The hypothesis that leukotriene receptor blockade might predispose to the development of primary bacterial peritonitis in patients receiving steroid therapy is discussed.
机译:白三烯在炎症中起作用,并且通过称为白三烯调节剂的新型药物可以减轻白细胞三烯参与重度哮喘患者的气道炎症和支气管收缩。最近有文献报道白三烯在实验性腹膜炎中增加血管通透性和诱导炎性细胞趋化作用。在抑制与粘膜免疫相关的动物模型中,类固醇与细菌易位有关。肝硬化腹水患者和肾病综合症患者均认识到自发性细菌性腹膜炎的发展。在没有这些易患病或其他潜在原因(例如内脏穿孔)的情况下细菌性腹膜炎的发作被称为“原发性细菌性腹膜炎”,并且从未在哮喘患者中描述。我们介绍了一名哮喘患者,在接受白三烯调节剂联合泼尼松龙治疗的同时发展为原发性细菌性腹膜炎。讨论了假设接受类固醇治疗的患者中白三烯受体阻滞可能导致原发性细菌性腹膜炎发展的假说。

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