title: Safety and efficacy of recombinant granulocyte colony-stimulating factor as an adjunctive therapy for Streptococcus pneumoniae meningitis in non-neutropenic adult patients: a pilot study.
abstract: Twenty-two non-neutropenic adult patients with Streptococcus pneumoniae meningitis received granulocyte-colony stimulating factor (G-CSF) (300-450 Ig/day subcutaneously for 6 days) in addition to cefotaxime plus dexamethasone (9-12 g/day for 10 days and 16 mg/day for 3 days iv, respectively). Patients recovered without evident sequelae in all cases but one (with bilateral hearing deficit). No adverse event was recorded. Improvement of inflammation indices in the cerebrospinal fluid was rapid. The most rapid improvement was seen in glucose concentration, which returned to normal ranges within 24-48 h of treatment. In this study G-CSF administration appeared to be safe and effective; further controlled clinical trials are justified.
authors.affiliation: Department of Infectious Diseases, S. Bortolo Hospital, via Rodolfi, 36100 Vicenza, Italy. fdl.vi@gpnet.it
authors.forename: F
authors.initials: F
authors.lastname: de Lalla
authors.forename: R
authors.initials: R
authors.lastname: Nicolin
authors.forename: L
authors.initials: L
authors.lastname: Lazzarini
mesh_terms: D000328:Adult; D000368:Aged; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D002439:Cefotaxime / Q000627:therapeutic use; D002511:Cephalosporins / Q000627:therapeutic use; D017024:Chemotherapy, Adjuvant; D003907:Dexamethasone / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D005260:Female; D016179:Granulocyte Colony-Stimulating Factor / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D008586:Meningitis, Pneumococcal / Q000134:cerebrospinal fluid / Q000188:drug therapy*; D008875:Middle Aged; D010865:Pilot Projects; D011994:Recombinant Proteins; D013296:Streptococcus pneumoniae
chemical_list: D000893:Anti-Inflammatory Agents; D002511:Cephalosporins; D011994:Recombinant Proteins; D016179:Granulocyte Colony-Stimulating Factor; D003907:Dexamethasone; D002439:Cefotaxime