Successful management of intractable cryptosporidial diarrhea with intravenous octreotide, a somatostatin analogue

A 38-year-old man with AIDS and intractable large-volume diarrhea due to a cryptosporidial infection was successfully treated with intravenous octreotide, a somatostatin analogue. The volume of diarrhea, 10-12 liters with 8-13 movements per day, was reduced to three to four semi-formed to formed sto...

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Veröffentlicht in:AIDS (London) 1991-06, Vol.5 (6), p.765-767
Hauptverfasser: KREINIK, G, BURSTEIN, O, LANDOR, M, BERNSTEIN, L, WEISS, L. M, WITTNER, M
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container_end_page 767
container_issue 6
container_start_page 765
container_title AIDS (London)
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creator KREINIK, G
BURSTEIN, O
LANDOR, M
BERNSTEIN, L
WEISS, L. M
WITTNER, M
description A 38-year-old man with AIDS and intractable large-volume diarrhea due to a cryptosporidial infection was successfully treated with intravenous octreotide, a somatostatin analogue. The volume of diarrhea, 10-12 liters with 8-13 movements per day, was reduced to three to four semi-formed to formed stools per day when the patient was treated with 400 micrograms intravenous octreotide daily. The patient's intravenous hyperalimentation was discontinued and he returned to oral feeding. He quickly regained his normal weight and has now resumed his normal activities. For those patients who cannot tolerate subcutaneous administration, intravenous octreotide therapy may not only be life-saving but may also markedly increase the quality of life. Roxithromycin, a macrolide antibiotic, was also administered to this patient with cryptosporidiosis but efficacy was not demonstrated.
doi_str_mv 10.1097/00002030-199106000-00020
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M</au><au>WITTNER, M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Successful management of intractable cryptosporidial diarrhea with intravenous octreotide, a somatostatin analogue</atitle><jtitle>AIDS (London)</jtitle><addtitle>AIDS</addtitle><date>1991-06-01</date><risdate>1991</risdate><volume>5</volume><issue>6</issue><spage>765</spage><epage>767</epage><pages>765-767</pages><issn>0269-9370</issn><eissn>1473-5571</eissn><abstract>A 38-year-old man with AIDS and intractable large-volume diarrhea due to a cryptosporidial infection was successfully treated with intravenous octreotide, a somatostatin analogue. The volume of diarrhea, 10-12 liters with 8-13 movements per day, was reduced to three to four semi-formed to formed stools per day when the patient was treated with 400 micrograms intravenous octreotide daily. The patient's intravenous hyperalimentation was discontinued and he returned to oral feeding. 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identifier ISSN: 0269-9370
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subjects Acquired Immunodeficiency Syndrome - complications
Adult
AIDS/HIV
Antibiotics. Antiinfectious agents. Antiparasitic agents
Antifungal agents
Biological and medical sciences
Cryptosporidiosis - complications
Cryptosporidiosis - drug therapy
Diarrhea - complications
Diarrhea - drug therapy
Humans
Injections, Intravenous
Male
Medical sciences
Octreotide - administration & dosage
Octreotide - therapeutic use
Pharmacology. Drug treatments
Roxithromycin - administration & dosage
Roxithromycin - therapeutic use
title Successful management of intractable cryptosporidial diarrhea with intravenous octreotide, a somatostatin analogue
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