Furazolidone in typhoid fever--correlation of clinical efficacy with serum bactericidal activity.

Abstract:

:Treatment of typhoid fever with furazolidone produces a high cure rate. This is a clinical curiosity, as furazolidone is described to be poorly absorbed. The present study examined whether furazolidone could produce unequivocal clinical response and, if so whether this was due to the drug producing bactericidal levels in the serum. Twenty one patients selected by defined criteria were treated with furazolidone and evaluated for definite clinical response in 5-7 days. Bactericidal activity of pre dose and post dose sera were estimated in seven patients showing definite clinical response. All the seven patients had a clinical cure without the drug producing significant bactericidal levels in the blood. Hence we concluded that the major site of action of furazolidone was in the intestine. It is our postulate that the organisms reaching the intestine in large numbers from bile are prevented from gaining re-entry into the circulation by the action of furazolidone in the intestine. After repeated cycles of entry of organisms into the intestine from bile and the simultaneous prevention of its re-entry into the circulation, the number of organisms remaining in circulation comes down considerably, thus helping the immune system to bring about a cure.

journal_name

Indian Pediatr

journal_title

Indian pediatrics

authors

Kumar AS,Legori M,Sathy N,Mathew R

subject

Has Abstract

pub_date

1995-05-01 00:00:00

pages

533-8

issue

5

eissn

0019-6061

issn

0974-7559

journal_volume

32

pub_type

临床试验,杂志文章
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    authors: Simsek E,Arikan Y,Dallar Y,Akkus MA

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  • Non-Autoimmune Subclinical and Overt Hypothyroidism in Idiopathic Steroid-resistant Nephrotic Syndrome in Children.

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    authors: Díllí D,Eras Z,Dilmen U,Sakrucu ED

    更新日期:2013-03-01 00:00:00

  • Vitamin A intake and vitamin A deficiency in rural children.

    abstract::The prevalence of vitamin A deficiency was estimated in 366 rural children in the age group of 1 to 15 years. In a systematically selected subsample of 90 children, the dietary intake of vitamin A was assessed. The prevalence of vitamin A deficiency signs ranged from 24.1 to 34.8%. The adequacy of dietary intake of vi...

    journal_title:Indian pediatrics

    pub_type: 杂志文章

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    authors: Khamgaonkar MB,Ramkrishnan S,Ghuliani KK,Murthy GV,Nayar S,Vidwans P

    更新日期:1990-05-01 00:00:00

  • Langerhans cell histiocytosis in children less than 2 years of age.

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    journal_title:Indian pediatrics

    pub_type: 杂志文章

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    authors: Kusuma Kumary P,Priyakumari T,Chellam VG,James FV,Nair MK

    更新日期:1999-01-01 00:00:00

  • ECG changes in asphyxia neonatorum.

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  • Standing up for Science.

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    更新日期:2018-12-15 00:00:00

  • Computer-aided Facial Analysis in Diagnosing Dysmorphic Syndromes in Indian Children.

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    journal_title:Indian pediatrics

    pub_type: 杂志文章

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    authors: Narayanan DL,Ranganath P,Aggarwal S,Dalal A,Phadke SR,Mandal K

    更新日期:2019-12-15 00:00:00

  • Effect of albumin administration prior to exchange transfusion in term neonates with hyperbilirubinemia--a randomized controlled trial.

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    journal_title:Indian pediatrics

    pub_type: 杂志文章,随机对照试验

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  • Lysinuric Protein Intolerance Presenting with Recurrent Hyperammonemic Encephalopathy.

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    pub_type: 杂志文章

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  • Influence of cesarean section on mother-baby interaction.

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    journal_title:Indian pediatrics

    pub_type: 杂志文章

    doi:

    authors: Gathwala G,Narayanan I

    更新日期:1991-01-01 00:00:00

  • Efficacy of twice weekly iron supplementation in anemic adolescent girls.

    abstract::Two hundred and forty four girls with different hemoglobin levels were selected, of which forty-one were non-anemic. The rest were graded as mildly, moderately or severely anemic and supplemented with 60 mg of iron daily or twice weekly for twelve weeks. There was no significant difference in the increase in hemoglobi...

    journal_title:Indian pediatrics

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    更新日期:2003-12-01 00:00:00

  • Informed consent in pediatric practice.

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    pub_type: 杂志文章,评审

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    authors: Kaushik JS,Narang M,Agarwal N

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    更新日期:2009-03-01 00:00:00

  • Myocardial dysfunction due to hypocalcemia.

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    pub_type: 杂志文章

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    更新日期:2010-09-01 00:00:00

  • Pediatric Education and Present Day Predicaments.

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    pub_type: 信件

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    更新日期:2019-02-15 00:00:00

  • Early dimercaptosuccinic acid renal scan in children with first febrile urinary tract infection.

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    journal_title:Indian pediatrics

    pub_type: 杂志文章

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    更新日期:2015-04-01 00:00:00

  • Mucoepidermoid Carcinoma of Parotid as a Second Malignancy in Acute Lymphoblastic Leukemia.

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    doi:10.1007/s13312-015-0757-0

    authors: Tikku G,Jain D,Kumari A,Grover R

    更新日期:2015-11-01 00:00:00

  • Epidemiological and Clinical Characteristics of COVID-19 in Indian Children in the Initial Phase of the Pandemic.

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    journal_title:Indian pediatrics

    pub_type: 杂志文章

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  • Waist circumference and waist for height percentiles in urban South Indian children aged 3-16 years.

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  • Lack of Research Amongst Undergraduate Medical Students in India: It's time to Act and Act Now.

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    doi:10.1007/s13312-017-1104-4

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  • A modified technique for umbilical arterial catheterization.

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    更新日期:2014-08-01 00:00:00

  • Yunis-Varon syndrome.

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    更新日期:2005-04-01 00:00:00

  • Health status of rural school children.

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    更新日期:1989-06-01 00:00:00

  • Short syndrome-an expanding phenotype.

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    更新日期:2013-04-01 00:00:00

  • Trichotillomania.

    abstract::Trichotillomania, though uncommon, is one of the causes of unexplained hair loss, especially in children. Three girls in the age group of 4-6 years were observed in our pediatric dermatology clinic to have trichotillomania. In one child, there was co-existent alopecia areata. All were referred to the child guidance cl...

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    pub_type: 杂志文章

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    更新日期:2003-01-01 00:00:00

  • An Infant with Respiratory Distress and Loose Stools.

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    更新日期:2018-08-15 00:00:00

  • Shwachman-Diamond Syndrome: are we missing many?

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  • Discussion: The Heart of the Paper.

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    更新日期:2016-10-08 00:00:00