Immunological and biochemical correlates of adjunctive dexamethasone in Vietnamese adults with bacterial meningitis.

Mai, Nguyen Thi Hoang; Tuan, Trung Vu; Wolbers, Marcel; Hoang, Dang Minh; Nga, Tran Vu Thieu; Chau, Tran Thi Hong; Chuong, Ly Van; Sinh, Dinh Xuan et al. · Clin Infect Dis · 2009

rct · Level II

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Abstract

Adjunctive treatment to improve outcome from bacterial meningitis has centered on dexamethasone. Among Vietnamese patients with bacterial meningitis, cerebrospinal fluid (CSF) opening pressure and CSF:plasma glucose ratios were significantly improved and levels of CSF cytokines interleukin (IL)-6, IL-8, and IL-10 and were all statistically significantly lower after treatment in patients who were randomized to dexamethasone, compared with levels in patients who received placebo.

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