A randomized, double-blind, placebo-controlled trial of acetazolamide for the treatment of elevated intracranial pressure in cryptococcal meningitis.

Newton, Paul N; Thai, Le Hung; Tip, Nguyen Quoc; Short, Jennifer M; Chierakul, Wirongrong; Rajanuwong, Adul; Pitisuttithum, Punnee; Chasombat, Sanchai et al. · Clin Infect Dis · 2002

rct · Level II

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Abstract

We conducted a trial of oral acetazolamide for the treatment of cryptococcal meningitis in 22 Thai adults with headache and an opening cerebrospinal fluid pressure of >/=200 mm H(2)0. The trial was terminated prematurely because patients who received acetazolamide developed significantly lower venous bicarbonate levels and higher chloride levels and had more-frequent serious adverse events than did subjects who received placebo.

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