Clofazimine
Leprostatic Agents
Dapsone
Leprosy, Multibacillary
Mycobacterium avium-intracellulare Infection
Mycobacterium avium Complex
Leprosy
Phenazines
Ethambutol
Rifabutin
Rifampin
Pigmentation Disorders
Amikacin
Antitubercular Agents
Roxithromycin
Erythema Nodosum
Leprosy, Lepromatous
Portraits as Topic
Literature, Modern
Peer Review, Research
Writing
Publishing
Successful short-term suppression of clarithromycin-resistant Mycobacterium avium complex bacteremia in AIDS. California Collaborative Treatment Group. (1/98)
During a randomized study of clarithromycin plus clofazimine with or without ethambutol in patients with AIDS and Mycobacterium avium complex (MAC) bacteremia, eight participants received additional antimycobacterial drugs following the detection of a clarithromycin-resistant isolate (MIC, > 8 micrograms/mL). A macrolide (seven received clarithromycin, one azithromycin) and clofazimine were continued; additional treatment included various combinations of ethambutol, ciprofloxacin, amikacin, and rifabutin. After the detection of a resistant isolate and before receipt of additional antimycobacterials, the median peak MAC colony count in blood was 105 cfu/mL (range, 8-81,500 cfu/mL). After additional antimycobacterials, the median nadir MAC colony count was 5 cfu/mL (range, 0-110 cfu/mL). Five (63%) of eight patients had a > or = 1 log10 decrease, including two who achieved negative blood cultures; all of these responses occurred in patients originally assigned to clarithromycin plus clofazimine. Treatment of clarithromycin-resistant MAC bacteremia that emerges during clarithromycin-based treatment can decrease levels of bacteremia and transiently sterilize blood cultures. (+info)Antimycobacterial activities of riminophenazines. (2/98)
Riminophenazines were specifically developed as drugs active against Mycobacterium tuberculosis but extensive research over several decades has shown that these compounds are also active against many other mycobacterial infections, particularly those caused by Mycobacterium leprae and the Mycobacterium avium complex (MAC). Clofazimine, the lead compound in this series, is included in the regimens that are approved by the WHO for the treatment of leprosy and has contributed significantly to the control of that disease, particularly that caused by dapsone-resistant bacteria. Despite early problems, clofazimine has shown clinical efficacy in tuberculosis, in particular that caused by multiple drug resistant strains. Clofazimine does not induce resistance and also inhibits emergence of resistance to isoniazid in M. tuberculosis. The efficacy of clofazimine against MAC is more varied and the availability of better drugs has limited its use. Newer riminophenazines, such as B746 and B4157, not only showed increased anti-mycobacterial activity but also produced less skin pigmentation, which is the main drawback of this group of compounds. The most important virtues of riminophenazines, such as intracellular accumulation in mononuclear phagocytic cells, anti-inflammatory activity, a low incidence of drug resistance and slow metabolic elimination, make them attractive candidates for the treatment of mycobacterial infections. It is essential, however, to investigate the newer analogues clinically, while continuing the pursuit of alternate candidates that demonstrate higher anti-mycobacterial activity and lower rates of skin pigmentation. (+info)Effective treatment of acute and chronic murine tuberculosis with liposome-encapsulated clofazimine. (3/98)
The therapeutic efficacy of liposomal clofazimine (L-CLF) was studied in mice infected with Mycobacterium tuberculosis Erdman. Groups of mice were treated with either free clofazimine (F-CLF), L-CLF, or empty liposomes twice a week for five treatments beginning on day 1 (acute), day 21 (established), or day 90 (chronic) postinfection. One day after the last treatment, the numbers of CFU of M. tuberculosis in the spleen, liver, and lungs were determined. F-CLF at the maximum tolerated dose of 5 mg/kg of body weight was ineffective; however, 10-fold-higher doses of L-CLF demonstrated a dose response with significant CFU reduction in all tissues without any toxic effects. In acutely infected mice, 50 mg of L-CLF/kg reduced CFU 2 to 3 log units in all three organs. In established or chronic infection, treated mice showed no detectable CFU in the spleen or liver and 1- to 2-log-unit reduction in the lungs. A second series of L-CLF treatments cleared M. tuberculosis in all three tissues. L-CLF appears to be bactericidal in the liver and spleen, which remained negative for M. tuberculosis growth for 2 months. Thus, L-CLF could be useful in the treatment of tuberculosis. (+info)A prospective randomized trial of four three-drug regimens in the treatment of disseminated Mycobacterium avium complex disease in AIDS patients: excess mortality associated with high-dose clarithromycin. Terry Beirn Community Programs for Clinical Research on AIDS. (4/98)
The optimal regimen for treatment of Mycobacterium avium complex (MAC) disease has not been established. Eighty-five AIDS patients with disseminated MAC disease were randomized to receive a three-drug regimen of clarithromycin, rifabutin or clofazimine, and ethambutol. Two dosages of clarithromycin, 500 or 1,000 mg twice daily (b.i.d.), were compared. The Data and Safety Monitoring Board recommended discontinuation of the clarithromycin dosage comparison and continuation of the rifabutin vs. clofazimine comparison. After a mean follow-up of 4.5 months, 10 (22%) of 45 patients receiving clarithromycin at 500 mg b.i.d. had died (70 deaths per 100 person-years) compared with 17 (43%) of 40 patients receiving clarithromycin at 1,000 mg b.i.d. (158 deaths per 100 person-years) (relative risk, 2.43; 95% confidence interval, 1.11-5.34; P = .02). After 10.4 months, 20 (49%) of 41 patients receiving rifabutin had died (81 deaths per 100 person-years) compared with 23 (52%) of 44 patients receiving clofazimine (94 deaths per 100 person-years) (relative risk, 1.20; 95% confidence interval, 0.65-2.19; P = .56). Bacteriologic outcomes were similar among treatment groups. In treating MAC disease in AIDS patients, the maximum dose of clarithromycin should be 500 mg b.i.d. (+info)Inhibition of potassium transport and growth of mycobacteria exposed to clofazimine and B669 is associated with a calcium-independent increase in microbial phospholipase A2 activity. (5/98)
Altered phospholipase A2 (PLA2) activity and its relationship to cation (K+, Ca2+) uptake and growth were investigated in mycobacteria exposed to the riminophenazine antimicrobial agents, clofazimine and B669 (0.15-2.5 mg/L). Microbial PLA2 activity was measured using a radiometric thin-layer chromatography procedure, whereas K+ and Ca2+ transport were measured using 86Rb+ or 42K+ and 45Ca2+, respectively. Short-term exposure (15-30 min) of Mycobacterium aurum A+ or the virulent and avirulent isolates of Mycobacterium tuberculosis H37R to the riminophenazines resulted in dose-related enhancement of microbial PLA2 activity, which was associated with inhibition of K+ influx and growth. Uptake of Ca2+ by mycobacteria was unaffected, or minimally affected, by the riminophenazines at concentrations of < or = 0.6 mg/L, whereas higher concentrations resulted in increased uptake of the cation in the setting of decreased microbial ATP concentrations. The results of kinetic studies using a fixed concentration (2.5 mg/L) of B669 demonstrated that riminophenazine-mediated enhancement of PLA2 activity and inhibition of K+ uptake in mycobacteria are rapid and probably related events that precede, by several minutes, any detectable effects on microbial ATP concentrations and uptake of Ca2+. Inclusion of the extracellular and intracellular Ca2+-chelating agents EGTA (0.2-7.2 g/L) and BAPTA/FURA-2 (0.2-9.5 mg/L), individually or in combination, did not prevent the effects of B669 on mycobacterial PLA2 activity or K+ transport, whereas alpha-tocopherol, which neutralizes PLA2 primary hydrolysis products, antagonized the inhibitory effects of the riminophenazines on microbial K+ uptake and growth. These results demonstrate that the antimycobacterial activities of clofazimine and B669 are related to a Ca2+-independent increase in mycobacterial PLA2, leading to interference with microbial K+ transport. (+info)Preparation of a clofazimine nanosuspension for intravenous use and evaluation of its therapeutic efficacy in murine Mycobacterium avium infection. (6/98)
Clofazimine nanosuspensions were produced by high pressure homogenization and the formulation was optimized for lyophilization. Characterization of the product by photon correlation spectroscopy, laser diffraction and Coulter counter analysis showed that the clofazimine nanosuspensions were suitable for iv injection with a particle size permitting passive targeting to the reticuloendothelial system. Following iv administration to mice of either the nanocrystalline or a control liposomal formulation at a dose of 20 mg clofazimine/kg bodyweight, drug concentrations in livers, spleens and lungs reached comparably high concentrations, well in excess of the MIC for most Mycobacterium avium strains. When C57BL/6 mice were experimentally infected with M. avium strain TMC 724, nanocrystalline clofazimine was as effective as liposomal clofazimine in reducing bacterial loads in the liver, spleen and lungs of infected mice. Nanocrystalline suspensions of poorly soluble drugs such as riminophenazines are easy to prepare and to lyophilize for extended storage and represent a promising new drug formulation for intravenous therapy of mycobacterial infections. (+info)Activity of a new class of isonicotinoylhydrazones used alone and in combination with isoniazid, rifampicin, ethambutol, para-aminosalicylic acid and clofazimine against Mycobacterium tuberculosis. (7/98)
The activities of six derivatives of a new class of isonicotinoylhydrazones were investigated in vitro against Mycobacterium tuberculosis H37Rv ATCC 27294, isoniazid-resistant M. tuberculosis ATCC 35822, rifampicin-resistant ATCC 35838, pyrazinamide-resistant ATCC 35828, streptomycin-resistant ATCC 35820 and 16 clinical isolates of M. tuberculosis. Several compounds showed interesting antimycobacterial activity against both ATCC strains and clinical isolates, but were less active against isoniazid-resistant M. tuberculosis. Combinations of five isonicotinoylhydrazone derivatives and rifampicin, ethambutol, para-aminosalicylic acid, isoniazid and clofazimine were also investigated against M. tuberculosis H37Rv ATCC 27294 and against ATCC drug-resistant strains. Addition of sub-MICs of some isonicotinoylhydrazone derivatives resulted in a four- to 16-fold reduction in MICs of ethambutol, para-aminosalicylic acid and rifampicin with fractional inhibitory concentrations (FICs) ranging between 0.17 and 0.37, suggesting a synergic interaction against M. tuberculosis H37Rv. Increased activity was also observed with other combinations (FICs 0.53-0.75), including isoniazid, and a synergic interaction between one of the isonicotinoylhydrazone derivatives and isoniazid (FIC 0.26) was shown against isoniazid-resistant M. tuberculosis ATCC 35822, whereas no effects were observed on combining the isonicotinoylhydrazones with clofazimine. The ability of isonicotinoylhydrazones to inhibit specifically the growth of M. tuberculosis, the high selectivity index and their ability to enhance the activity of standard antituberculous drugs in vitro indicate that they may serve as promising lead compounds for future drug development for the treatment of M. tuberculosis infections. (+info)Oxidative stress increases susceptibility of Mycobacterium tuberculosis to isoniazid. (8/98)
Isoniazid is a first-line antibiotic used in the treatment of infections caused by Mycobacterium tuberculosis. Isoniazid is a prodrug requiring oxidative activation by the catalase-peroxidase hemoprotein, KatG. Resistance to isoniazid can be obtained by point mutations in the katG gene, with one of the most common being a threonine-for-serine substitution at position 315 (S315T). The S315T mutation is found in more than 50% of isoniazid-resistant clinical isolates and results in an approximately 200-fold increase in the MIC of isoniazid compared to that for M. tuberculosis H37Rv. In the present study we investigated the hypothesis that superoxide plays a role in KatG-mediated isoniazid activation. Plumbagin and clofazimine, compounds capable of generating superoxide anion, resulted in a lower MIC of isoniazid for M. tuberculosis H37Rv and a strain carrying the S315T mutation. These agents did not cause as great of an increase in isoniazid susceptibility in the mutant strain when the susceptibilities were assessed by using the inhibitory concentration that causes a 50% decrease in growth. These results provide evidence that superoxide can play a role in isoniazid activation. Since clofazimine alone has antitubercular activity, the observation of synergism between clofazimine and isoniazid raises the interesting possibility of using both drugs in combination to treat M. tuberculosis infections. (+info)Clofazimine is an antimycobacterial medication used mainly in the treatment of leprosy (Hansen's disease) and also has some activity against Mycobacterium avium complex (MAC) infections. It is an oral riminophenazine dye that accumulates in macrophages and bacterial cells, where it inhibits mycobacterial DNA-dependent RNA polymerase. Its side effects include skin discoloration, gastrointestinal symptoms, and potential eye toxicity.
Leprosstatic agents are substances or drugs that have a specific effect on the bacterium that causes leprosy, also known as Mycobacterium leprae. These agents are used in the treatment and prevention of leprosy, a chronic infectious disease that primarily affects the skin, peripheral nerves, and mucosal surfaces of the upper respiratory tract.
The most common leprostatic agents are antibiotics, which target the bacterial cells and inhibit their growth or kill them. The two main antibiotics used to treat leprosy are dapsone and rifampicin, which are often given in combination with other drugs such as clofazimine to prevent the development of drug-resistant strains of the bacteria.
Leprosstatic agents are usually administered orally or by injection, and the duration of treatment can vary depending on the severity of the disease and the patient's response to therapy. It is important to note that early detection and treatment of leprosy can help prevent the progression of the disease and reduce the risk of transmission to others.
Dapsone is a medication that belongs to a class of drugs called sulfones. It is primarily used to treat bacterial skin infections such as leprosy and dermatitis herpetiformis (a skin condition associated with coeliac disease). Dapsone works by killing the bacteria responsible for these infections.
In addition, dapsone has anti-inflammatory properties and is sometimes used off-label to manage inflammatory conditions such as vasculitis, bullous pemphigoid, and chronic urticaria. It is available in oral tablet form and topical cream or gel form.
Like all medications, dapsone can cause side effects, which may include nausea, loss of appetite, and headache. More serious side effects, such as methemoglobinemia (a blood disorder that affects the body's ability to transport oxygen), peripheral neuropathy (nerve damage that causes pain, numbness, or weakness in the hands and feet), and liver damage, can occur but are less common.
It is important for patients taking dapsone to be monitored by a healthcare provider to ensure safe and effective use of the medication.
Multibacillary (MB) leprosy, also known as lepromatous leprosy, is a type of leprosy that is characterized by the widespread dissemination of the bacterium Mycobacterium leprae throughout the body. It is one of two major forms of leprosy, with the other being paucibacillary (PB) leprosy.
In MB leprosy, there are typically numerous skin lesions that may be widespread and often have a symmetrical distribution. The lesions can appear as nodules, plaques, or macules and can be hypopigmented or erythematous. They may also have a characteristic appearance with loss of sensation due to nerve damage.
MB leprosy is characterized by the presence of large numbers of bacilli in the skin lesions and nasal mucosa, as well as involvement of multiple nerves leading to deformities and disabilities if left untreated. The diagnosis of MB leprosy is usually made based on clinical examination, skin smears, and/or biopsy.
MB leprosy is treated with a multidrug therapy (MDT) regimen recommended by the World Health Organization (WHO), which includes rifampicin, dapsone, and clofazimine for at least 12 months. Early diagnosis and treatment of MB leprosy can prevent disability and reduce transmission.
Mycobacterium avium-intracellulare (M. avium-intracellulare) infection is a type of nontuberculous mycobacterial (NTM) lung disease caused by the environmental pathogens Mycobacterium avium and Mycobacterium intracellulare, which are commonly found in water, soil, and dust. These bacteria can cause pulmonary infection, especially in individuals with underlying lung conditions such as chronic obstructive pulmonary disease (COPD), bronchiectasis, or prior tuberculosis infection.
M. avium-intracellulare infection typically presents with symptoms like cough, fatigue, weight loss, fever, night sweats, and sputum production. Diagnosis is established through a combination of clinical presentation, radiographic findings, and microbiological culture of respiratory samples. Treatment usually involves a multidrug regimen consisting of macrolides (such as clarithromycin or azithromycin), ethambutol, and rifamycins (such as rifampin or rifabutin) for an extended period, often 12-24 months. Eradication of the infection can be challenging due to the bacteria's inherent resistance to many antibiotics and its ability to survive within host cells.
Mycobacterium avium Complex (MAC) is a group of slow-growing mycobacteria that includes Mycobacterium avium and Mycobacterium intracellulare. These bacteria are commonly found in water, soil, and dust, and can cause pulmonary disease, lymphadenitis, and disseminated infection, particularly in individuals with compromised immune systems, such as those with HIV/AIDS. The infection caused by MAC is often chronic and difficult to eradicate, requiring long-term antibiotic therapy.
Leprosy, also known as Hansen's disease, is a chronic infectious disease caused by the bacterium Mycobacterium leprae. It primarily affects the skin, peripheral nerves, mucosal surfaces of the upper respiratory tract, and the eyes. The disease mainly spreads through droplets from the nose and mouth of infected people.
Leprosy is characterized by granulomatous inflammation, which leads to the formation of distinctive skin lesions and nerve damage. If left untreated, it can cause progressive and permanent damage to the skin, nerves, limbs, and eyes. However, with early diagnosis and multidrug therapy (MDT), the disease can be cured, and disability can be prevented or limited.
The World Health Organization (WHO) classifies leprosy into two types based on the number of skin lesions and bacteriological index: paucibacillary (one to five lesions) and multibacillary (more than five lesions). This classification helps determine the appropriate treatment regimen.
Although leprosy is curable, it remains a public health concern in many developing countries due to its stigmatizing nature and potential for social exclusion of affected individuals.
Phenazines are a class of heterocyclic aromatic organic compounds that consist of two nitrogen atoms connected by a five-membered ring. They are naturally occurring in various species of bacteria and fungi, where they play a role in chemical defense and communication. Some phenazines have been found to have antibiotic, antifungal, and antiparasitic properties. Synthetic phenazines are also used in various industrial applications, such as dyes and pigments, and as components in some pharmaceuticals and agrochemicals.
Ethambutol is an antimycobacterial medication used for the treatment of tuberculosis (TB). It works by inhibiting the synthesis of mycobacterial cell walls, which leads to the death of the bacteria. Ethambutol is often used in combination with other TB drugs, such as isoniazid and rifampin, to prevent the development of drug-resistant strains of the bacteria.
The most common side effect of ethambutol is optic neuritis, which can cause visual disturbances such as decreased vision, color blindness, or blurred vision. This side effect is usually reversible if the medication is stopped promptly. Other potential side effects include skin rashes, joint pain, and gastrointestinal symptoms such as nausea and vomiting.
Ethambutol is available in oral tablet and solution forms, and is typically taken once or twice daily. The dosage of ethambutol is based on the patient's weight, and it is important to follow the healthcare provider's instructions carefully to avoid toxicity. Regular monitoring of visual acuity and liver function is recommended during treatment with ethambutol.
Rifabutin is an antibiotic drug that belongs to the class of rifamycins. According to the Medical Subject Headings (MeSH) database of the National Library of Medicine, Rifabutin is defined as: "A semi-synthetic antibiotic produced from Streptomyces mediterranei and related to rifamycin B. It has iron-binding properties and is used, usually in combination with other antibiotics, to treat tuberculosis. Its antibacterial action is due to inhibition of DNA-dependent RNA polymerase activity."
Rifabutin is primarily used to prevent and treat Mycobacterium avium complex (MAC) infections in people with human immunodeficiency virus (HIV) infection or acquired immune deficiency syndrome (AIDS). It may also be used off-label for other bacterial infections, such as tuberculosis, atypical mycobacteria, and Legionella pneumophila.
Rifabutin has a unique chemical structure compared to other rifamycin antibiotics like rifampin and rifapentine. This structural difference results in a longer half-life and better tissue distribution, allowing for once-daily dosing and improved penetration into the central nervous system (CNS).
As with any medication, Rifabutin can have side effects, including gastrointestinal disturbances, rashes, and elevated liver enzymes. Additionally, it is known to interact with several other medications, such as oral contraceptives, anticoagulants, and some anti-seizure drugs, which may require dose adjustments or monitoring for potential interactions.
Rifampin is an antibiotic medication that belongs to the class of drugs known as rifamycins. It works by inhibiting bacterial DNA-dependent RNA polymerase, thereby preventing bacterial growth and multiplication. Rifampin is used to treat a variety of infections caused by bacteria, including tuberculosis, Haemophilus influenzae, Neisseria meningitidis, and Legionella pneumophila. It is also used to prevent meningococcal disease in people who have been exposed to the bacteria.
Rifampin is available in various forms, including tablets, capsules, and injectable solutions. The medication is usually taken two to four times a day, depending on the type and severity of the infection being treated. Rifampin may be given alone or in combination with other antibiotics.
It is important to note that rifampin can interact with several other medications, including oral contraceptives, anticoagulants, and anti-seizure drugs, among others. Therefore, it is essential to inform your healthcare provider about all the medications you are taking before starting treatment with rifampin.
Rifampin may cause side effects such as nausea, vomiting, diarrhea, dizziness, headache, and changes in the color of urine, tears, sweat, and saliva to a reddish-orange color. These side effects are usually mild and go away on their own. However, if they persist or become bothersome, it is important to consult your healthcare provider.
In summary, rifampin is an antibiotic medication used to treat various bacterial infections and prevent meningococcal disease. It works by inhibiting bacterial DNA-dependent RNA polymerase, preventing bacterial growth and multiplication. Rifampin may interact with several other medications, and it can cause side effects such as nausea, vomiting, diarrhea, dizziness, headache, and changes in the color of body fluids.
Pigmentation disorders are conditions that affect the production or distribution of melanin, the pigment responsible for the color of skin, hair, and eyes. These disorders can cause changes in the color of the skin, resulting in areas that are darker (hyperpigmentation) or lighter (hypopigmentation) than normal. Examples of pigmentation disorders include melasma, age spots, albinism, and vitiligo. The causes, symptoms, and treatments for these conditions can vary widely, so it is important to consult a healthcare provider for an accurate diagnosis and treatment plan.
Amikacin is a type of antibiotic known as an aminoglycoside, which is used to treat various bacterial infections. It works by binding to the 30S subunit of the bacterial ribosome, inhibiting protein synthesis and ultimately leading to bacterial cell death. Amikacin is often used to treat serious infections caused by Gram-negative bacteria, including Pseudomonas aeruginosa, Escherichia coli, and Klebsiella pneumoniae. It may be given intravenously or intramuscularly, depending on the severity and location of the infection. As with all antibiotics, amikacin should be used judiciously to prevent the development of antibiotic resistance.
Antitubercular agents, also known as anti-tuberculosis drugs or simply TB drugs, are a category of medications specifically used for the treatment and prevention of tuberculosis (TB), a bacterial infection caused by Mycobacterium tuberculosis. These drugs target various stages of the bacteria's growth and replication process to eradicate it from the body or prevent its spread.
There are several first-line antitubercular agents, including:
1. Isoniazid (INH): This is a bactericidal drug that inhibits the synthesis of mycolic acids, essential components of the mycobacterial cell wall. It is primarily active against actively growing bacilli.
2. Rifampin (RIF) or Rifampicin: A bactericidal drug that inhibits DNA-dependent RNA polymerase, preventing the transcription of genetic information into mRNA. This results in the interruption of protein synthesis and ultimately leads to the death of the bacteria.
3. Ethambutol (EMB): A bacteriostatic drug that inhibits the arabinosyl transferase enzyme, which is responsible for the synthesis of arabinan, a crucial component of the mycobacterial cell wall. It is primarily active against actively growing bacilli.
4. Pyrazinamide (PZA): A bactericidal drug that inhibits the synthesis of fatty acids and mycolic acids in the mycobacterial cell wall, particularly under acidic conditions. PZA is most effective during the initial phase of treatment when the bacteria are in a dormant or slow-growing state.
These first-line antitubercular agents are often used together in a combination therapy to ensure complete eradication of the bacteria and prevent the development of drug-resistant strains. Treatment duration typically lasts for at least six months, with the initial phase consisting of daily doses of INH, RIF, EMB, and PZA for two months, followed by a continuation phase of INH and RIF for four months.
Second-line antitubercular agents are used when patients have drug-resistant TB or cannot tolerate first-line drugs. These include drugs like aminoglycosides (e.g., streptomycin, amikacin), fluoroquinolones (e.g., ofloxacin, moxifloxacin), and injectable bacteriostatic agents (e.g., capreomycin, ethionamide).
It is essential to closely monitor patients undergoing antitubercular therapy for potential side effects and ensure adherence to the treatment regimen to achieve optimal outcomes and prevent the development of drug-resistant strains.
Roxithromycin is a macrolide antibiotic that is used to treat various types of bacterial infections, including respiratory tract infections, skin and soft tissue infections, and sexually transmitted diseases. It works by inhibiting the growth of bacteria by interfering with their protein synthesis.
Roxithromycin has a broad spectrum of activity against both Gram-positive and Gram-negative bacteria, including Haemophilus influenzae, Streptococcus pneumoniae, Staphylococcus aureus, Moraxella catarrhalis, Mycoplasma pneumoniae, Chlamydia trachomatis, and Neisseria gonorrhoeae.
The drug is available in various forms, including tablets, capsules, and oral suspension, and is usually taken twice a day for 5-10 days, depending on the type and severity of the infection being treated. Common side effects of roxithromycin include nausea, diarrhea, abdominal pain, headache, and skin rash.
It's important to note that roxithromycin should only be used under the guidance of a healthcare professional, as with any medication, to ensure its safe and effective use.
Erythema nodosum is a type of inflammation that occurs in the fatty layer of the skin, causing painful, red or purple bumps (nodules) to form. It is a type of panniculitis, which refers to any condition that causes inflammation of the fatty layer of tissue beneath the skin.
Erythema nodosum is often associated with a variety of underlying conditions, such as infections (e.g., streptococcus, tuberculosis), medications (e.g., sulfa drugs, oral contraceptives), inflammatory bowel disease (e.g., Crohn's disease, ulcerative colitis), and pregnancy.
The bumps associated with erythema nodosum typically appear on the shins, ankles, knees, or other areas of the legs, although they can also occur on the arms, hands, or face. The bumps may be tender to the touch, warm, and swollen, and they may cause pain or discomfort when walking or standing for prolonged periods.
In most cases, erythema nodosum resolves on its own within a few weeks to several months, although symptoms can be managed with medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) and corticosteroids. Treating the underlying condition is also important for resolving erythema nodosum and preventing recurrences.
Liquid crystals (LCs) are not exclusive to the medical field, but they do have important applications in medicine, particularly in the development of display technologies for medical devices. Here is a general definition:
Liquid crystals are a state of matter that possess properties between those of conventional liquids and solid crystals. They can flow like liquids but have molecules oriented in a way that they can reflect light, creating birefringence. This unique property makes them useful in various applications, such as LCDs (liquid crystal displays) found in many electronic devices, including medical equipment.
In the context of medicine, liquid crystals are primarily used in LCD screens for medical devices like monitors, imaging systems, and diagnostic equipment. They enable high-resolution, clear, and adjustable visualization of medical images, which is crucial for accurate diagnosis and treatment planning.
Lepromatous leprosy is a type of leprosy, a chronic infectious disease caused by the bacterium Mycobacterium leprae. In this form of the disease, there is a widespread and diffuse involvement of the skin, mucous membranes, and peripheral nerves. The bacteria multiply slowly and spread to the skin, upper respiratory tract, and peripheral nerves.
In lepromatous leprosy, the immune response is weak, allowing for extensive bacterial multiplication and widespread tissue damage. The skin lesions are typically numerous, pale, and have a smooth surface. Nerve involvement can lead to loss of sensation, muscle weakness, and deformities, particularly in the hands and feet.
Lepromatous leprosy is a more severe form of the disease compared to tuberculoid leprosy, which has a stronger immune response and localized skin lesions. Both forms of the disease are treatable with multidrug therapy (MDT), recommended by the World Health Organization (WHO) for all leprosy patients. Early diagnosis and treatment can prevent disability and reduce transmission.
I'm sorry for any confusion, but "Portraits as Topic" is not a medical term or concept. It refers to portraits, which are visual representations or images of a person, usually showing the face and shoulders. The term "as Topic" indicates that it is the subject or theme being discussed. Therefore, "Portraits as Topic" generally relates to the study, analysis, or discussion of portraits in various contexts, such as art, psychology, sociology, or history. If you have any medical questions or terms you would like me to define, please don't hesitate to ask!
I'm happy to help! However, it seems there might be a bit of confusion in your question. "Modern" is a term that refers to a period in time, specifically the modern period which is generally considered to be from the late 19th century to the present. "Literature," on the other hand, is a broad term that refers to written works, especially those considered to have artistic or intellectual value.
So, when you ask for a medical definition of "Literature, Modern," it's not entirely clear what you are looking for. If you are asking for examples of modern literature that deal with medical themes or issues, there are many notable works to choose from, including:
* "The Immortal Life of Henrietta Lacks" by Rebecca Skloot, which explores the ethical implications of medical research using human cells without consent.
* "The Hot Zone" by Richard Preston, a thriller about the Ebola virus and its potential to cause a global pandemic.
* "Complications: A Surgeon's Notes on an Imperfect Science" by Atul Gawande, a collection of essays that examine the challenges and uncertainties of medical practice.
* "Brain on Fire: My Month of Madness" by Susannah Cahalan, a memoir about the author's experience with a rare autoimmune disorder that affected her brain.
If you are looking for something else, please let me know and I will do my best to assist you!
A "periodical" in the context of medicine typically refers to a type of publication that is issued regularly, such as on a monthly or quarterly basis. These publications include peer-reviewed journals, magazines, and newsletters that focus on medical research, education, and practice. They may contain original research articles, review articles, case reports, editorials, letters to the editor, and other types of content related to medical science and clinical practice.
As a "Topic," periodicals in medicine encompass various aspects such as their role in disseminating new knowledge, their impact on clinical decision-making, their quality control measures, and their ethical considerations. Medical periodicals serve as a crucial resource for healthcare professionals, researchers, students, and other stakeholders to stay updated on the latest developments in their field and to share their findings with others.
Peer review in the context of research refers to the evaluation of scientific, academic, or professional work by others working in the same field. The purpose of peer review is to ensure that the research is rigorous, valid, and relevant to the field. In a peer-review process, experts in the relevant field assess the research article, report, or other type of scholarly work for its accuracy, quality, and significance before it is published or presented at a conference.
The peer-review process typically involves several stages:
1. Submission: The author(s) submit their manuscript to a journal, conference, or other publication venue.
2. Assignment: The editor of the publication assigns the manuscript to one or more reviewers who are experts in the field.
3. Review: The reviewers evaluate the manuscript based on criteria such as originality, methodology, data analysis, interpretation of results, and contribution to the field. They provide feedback and recommendations to the editor.
4. Decision: Based on the feedback from the reviewers, the editor makes a decision about whether to accept, reject, or request revisions to the manuscript.
5. Revision: If the manuscript is rejected or requires revisions, the author(s) may have an opportunity to revise and resubmit the manuscript for further consideration.
Peer review is a critical component of the scientific process, as it helps ensure that research is held to high standards of quality and integrity. It also provides a mechanism for identifying and correcting errors or weaknesses in research before it is published or disseminated widely.
I believe there may be some confusion in your question. "Writing" is a common term used to describe the act or process of creating written content, whether it's for literary, professional, or personal purposes. However, if you're asking for a medical term related to writing, perhaps you meant "graphomotor," which refers to the fine motor skills required to produce handwriting or signing one's name. If this is not what you were looking for, please clarify your question so I can provide a more accurate answer.
I'm sorry for any confusion, but "publishing" is not a term that has a medical definition. Publishing typically refers to the process of preparing and disseminating information, such as books, journals, or articles, to the public or a specific audience. It could involve both print and digital media. If you have any questions related to medicine or healthcare, I'd be happy to try to help answer those!
"Serial Publications" is not a term that has a specific medical definition. However, in general terms, "serial publications" refer to ongoing publications that are released on a regular basis, such as journals, magazines, or newsletters. In the context of medical literature, serial publications often take the form of peer-reviewed medical journals, which publish research articles, reviews, and other types of scientific communications on a regular schedule. These publications play an important role in disseminating new knowledge and advances in medicine to healthcare professionals, researchers, and other stakeholders in the field.