Ibuprofen worsens Streptococcus pyogenes soft tissue infections in mice

Background Group A streptococcus (GAS) is a common cause of soft tissue infection. Nonsteroidal anti-inflammatory drugs have been reported to worsen GAS soft tissue infections. Methods A mouse model of GAS soft tissue infection was developed. The extent of cutaneous lesions, tissue damage, release o...

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Veröffentlicht in:Journal of microbiology, immunology and infection immunology and infection, 2011-12, Vol.44 (6), p.418-423
Hauptverfasser: Weng, Tzu-Chieh, Chen, Chi-Chung, Toh, Han-Siong, Tang, Hung-Jen
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container_issue 6
container_start_page 418
container_title Journal of microbiology, immunology and infection
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creator Weng, Tzu-Chieh
Chen, Chi-Chung
Toh, Han-Siong
Tang, Hung-Jen
description Background Group A streptococcus (GAS) is a common cause of soft tissue infection. Nonsteroidal anti-inflammatory drugs have been reported to worsen GAS soft tissue infections. Methods A mouse model of GAS soft tissue infection was developed. The extent of cutaneous lesions, tissue damage, release of inflammatory cytokines, and survival rates were compared between mice with and without ibuprofen administration after GAS soft tissue infection. Results All twelve mice without ibuprofen administration survived for at least 10 days. In contrast, mortality rate of 14 mice with ibuprofen therapy was 72.5%. Ibuprofen-treated mice exhibited more evident macrophage infiltration and tissue damage in the GAS-infected soft tissues. In GAS-infected mice, tissue levels of interleukin 6 and tumor necrosis factor alpha were significantly higher in ibuprofen-treated mice than those in the control group. Conclusions The results supported the concept that ibuprofen use in GAS soft tissue infections might induce the development of severe necrotizing infections and increase mortality rate.
doi_str_mv 10.1016/j.jmii.2011.04.012
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Nonsteroidal anti-inflammatory drugs have been reported to worsen GAS soft tissue infections. Methods A mouse model of GAS soft tissue infection was developed. The extent of cutaneous lesions, tissue damage, release of inflammatory cytokines, and survival rates were compared between mice with and without ibuprofen administration after GAS soft tissue infection. Results All twelve mice without ibuprofen administration survived for at least 10 days. In contrast, mortality rate of 14 mice with ibuprofen therapy was 72.5%. Ibuprofen-treated mice exhibited more evident macrophage infiltration and tissue damage in the GAS-infected soft tissues. In GAS-infected mice, tissue levels of interleukin 6 and tumor necrosis factor alpha were significantly higher in ibuprofen-treated mice than those in the control group. Conclusions The results supported the concept that ibuprofen use in GAS soft tissue infections might induce the development of severe necrotizing infections and increase mortality rate.</description><identifier>ISSN: 1684-1182</identifier><identifier>EISSN: 1995-9133</identifier><identifier>DOI: 10.1016/j.jmii.2011.04.012</identifier><identifier>PMID: 21697021</identifier><language>eng</language><publisher>England: Elsevier B.V</publisher><subject>Animal model ; Animals ; Anti-Inflammatory Agents, Non-Steroidal - toxicity ; Disease Models, Animal ; Fasciitis, Necrotizing - chemically induced ; Fasciitis, Necrotizing - microbiology ; Female ; Histocytochemistry ; Ibuprofen - toxicity ; Infectious Disease ; Interleukin-6 - blood ; Interleukin-6 - metabolism ; Medical Education ; Mice ; Mice, Inbred BALB C ; Nonsteroidal anti-inflammatory drugs ; Soft tissue infection ; Soft Tissue Infections - drug therapy ; Soft Tissue Infections - metabolism ; Soft Tissue Infections - microbiology ; Soft Tissue Infections - pathology ; Streptococcal infection ; Streptococcal Infections - drug therapy ; Streptococcal Infections - metabolism ; Streptococcal Infections - microbiology ; Streptococcal Infections - pathology ; Streptococcus pyogenes ; Streptococcus pyogenes - drug effects ; Tumor Necrosis Factor-alpha - blood ; Tumor Necrosis Factor-alpha - metabolism</subject><ispartof>Journal of microbiology, immunology and infection, 2011-12, Vol.44 (6), p.418-423</ispartof><rights>2011</rights><rights>Copyright © 2011. 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Nonsteroidal anti-inflammatory drugs have been reported to worsen GAS soft tissue infections. Methods A mouse model of GAS soft tissue infection was developed. The extent of cutaneous lesions, tissue damage, release of inflammatory cytokines, and survival rates were compared between mice with and without ibuprofen administration after GAS soft tissue infection. Results All twelve mice without ibuprofen administration survived for at least 10 days. In contrast, mortality rate of 14 mice with ibuprofen therapy was 72.5%. Ibuprofen-treated mice exhibited more evident macrophage infiltration and tissue damage in the GAS-infected soft tissues. In GAS-infected mice, tissue levels of interleukin 6 and tumor necrosis factor alpha were significantly higher in ibuprofen-treated mice than those in the control group. 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ispartof Journal of microbiology, immunology and infection, 2011-12, Vol.44 (6), p.418-423
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subjects Animal model
Animals
Anti-Inflammatory Agents, Non-Steroidal - toxicity
Disease Models, Animal
Fasciitis, Necrotizing - chemically induced
Fasciitis, Necrotizing - microbiology
Female
Histocytochemistry
Ibuprofen - toxicity
Infectious Disease
Interleukin-6 - blood
Interleukin-6 - metabolism
Medical Education
Mice
Mice, Inbred BALB C
Nonsteroidal anti-inflammatory drugs
Soft tissue infection
Soft Tissue Infections - drug therapy
Soft Tissue Infections - metabolism
Soft Tissue Infections - microbiology
Soft Tissue Infections - pathology
Streptococcal infection
Streptococcal Infections - drug therapy
Streptococcal Infections - metabolism
Streptococcal Infections - microbiology
Streptococcal Infections - pathology
Streptococcus pyogenes
Streptococcus pyogenes - drug effects
Tumor Necrosis Factor-alpha - blood
Tumor Necrosis Factor-alpha - metabolism
title Ibuprofen worsens Streptococcus pyogenes soft tissue infections in mice
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