Antibiotic Therapy, Endotoxin Concentration in Cerebrospinal Fluid, and Brain Edema in Experimental Escherichia coli Meningitis in Rabbits

We investigated the effect of cefotaxime and chloramphenicol on endotoxin concentrations in cerebrospinal fluid (CSF) and on the development of brain edema in rabbits with Escherichia coli meningitis. Both antibiotics were similarly effective in reducing bacterial titers. Cefotaxime, but not chloram...

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Veröffentlicht in:The Journal of infectious diseases 1987-09, Vol.156 (3), p.456-462
Hauptverfasser: Täuber, Martin G., Shibl, Atel M., Hackbarth, Corinne J., Larrick, James W., Sande, Merle A.
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container_issue 3
container_start_page 456
container_title The Journal of infectious diseases
container_volume 156
creator Täuber, Martin G.
Shibl, Atel M.
Hackbarth, Corinne J.
Larrick, James W.
Sande, Merle A.
description We investigated the effect of cefotaxime and chloramphenicol on endotoxin concentrations in cerebrospinal fluid (CSF) and on the development of brain edema in rabbits with Escherichia coli meningitis. Both antibiotics were similarly effective in reducing bacterial titers. Cefotaxime, but not chloramphenicol, induced a marked increase of endotoxin in CSF, from log10 1.5 ± 0.8 to log10 2.8 ± 0.7 ng/ml (P < .01). This result was associated with an increase in brain water content (405 ± 12 g of water/100 g of dry weight compared with 389 ± 8 g in untreated controls; P < .01), whereas in animals treated with chloramphenicol, brain water content was identical to controls. The cefotaxime-induced increase in endotoxin concentration and brain edema were both neutralized by polymyxin B, which binds to the lipid A moiety of endotoxin, or by a monoclonal antibody to lipid A. These results indicate that treating gram-negative bacillary meningitis with selected antibiotics induces increased endotoxin concentrations in CSF that are associated with brain edema.
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Both antibiotics were similarly effective in reducing bacterial titers. Cefotaxime, but not chloramphenicol, induced a marked increase of endotoxin in CSF, from log10 1.5 ± 0.8 to log10 2.8 ± 0.7 ng/ml (P &lt; .01). This result was associated with an increase in brain water content (405 ± 12 g of water/100 g of dry weight compared with 389 ± 8 g in untreated controls; P &lt; .01), whereas in animals treated with chloramphenicol, brain water content was identical to controls. The cefotaxime-induced increase in endotoxin concentration and brain edema were both neutralized by polymyxin B, which binds to the lipid A moiety of endotoxin, or by a monoclonal antibody to lipid A. These results indicate that treating gram-negative bacillary meningitis with selected antibiotics induces increased endotoxin concentrations in CSF that are associated with brain edema.</abstract><cop>Chicago, IL</cop><pub>The University of Chicago Press</pub><pmid>3302052</pmid><doi>10.1093/infdis/156.3.456</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects Animals
Anti-Bacterial Agents - therapeutic use
Antibacterial agents
Antibiotics
Antibiotics. Antiinfectious agents. Antiparasitic agents
Antibodies
Antibodies, Monoclonal - therapeutic use
Biological and medical sciences
Brain edema
Brain Edema - etiology
Cefotaxime - therapeutic use
Chloramphenicol - therapeutic use
Endotoxins
Endotoxins - cerebrospinal fluid
Escherichia coli
Escherichia coli Infections - cerebrospinal fluid
Escherichia coli Infections - complications
Escherichia coli Infections - drug therapy
Escherichia coli meningitis
Infections
Lipid A - immunology
Lipids
Medical sciences
Meningitis - cerebrospinal fluid
Meningitis - complications
Meningitis - drug therapy
Moisture content
Original Articles
Pharmacology. Drug treatments
Pneumococcal meningitis
Polymyxin B - therapeutic use
Polymyxins
Rabbits
title Antibiotic Therapy, Endotoxin Concentration in Cerebrospinal Fluid, and Brain Edema in Experimental Escherichia coli Meningitis in Rabbits
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