» Articles » PMID: 8477768

Role of Glucocorticosteroids in the Treatment of Infectious Diseases

Overview
Publisher Springer
Date 1993 Jan 1
PMID 8477768
Citations 1
Authors
Affiliations
Soon will be listed here.
Abstract

The role of glucocorticosteroids in the management of infectious diseases in man remains controversial, although experimental data obtained both in in vitro systems and in experimental infections in animals provide evidence of a beneficial effect of such treatment. Their use in the treatment of Pneumocystis carinii pneumoniae and severe typhoid fever seems indicated. A beneficial effect on the treatment of bacterial meningitis needs to be confirmed. Sufficient data are now available that argue against steroid treatment in septic shock. However, new treatment modalities such as monoclonal antibodies against endotoxin and inflammatory mediators are currently being developed to modulate infectious inflammation. This could also bring a renaissance of the role of glucocorticosteroids in the treatment of infectious diseases.

Citing Articles

Clinical review: a systematic review of corticosteroid use in infections.

Aberdein J, Singer M Crit Care. 2005; 10(1):203.

PMID: 16356204 PMC: 1550829. DOI: 10.1186/cc3904.

References
1.
Tunkel A, Wispelwey B, Scheld W . Bacterial meningitis: recent advances in pathophysiology and treatment. Ann Intern Med. 1990; 112(8):610-23. DOI: 10.7326/0003-4819-112-8-610. View

2.
Cline M, Melmon K . Plasma kinins and cortisol: a possible explanation of the anti-inflammatory action of cortisol. Science. 1966; 153(3740):1135-8. DOI: 10.1126/science.153.3740.1135. View

3.
. Consensus statement on the use of corticosteroids as adjunctive therapy for pneumocystis pneumonia in the acquired immunodeficiency syndrome. N Engl J Med. 1990; 323(21):1500-4. DOI: 10.1056/NEJM199011223232131. View

4.
Bone R . The pathogenesis of sepsis. Ann Intern Med. 1991; 115(6):457-69. DOI: 10.7326/0003-4819-115-6-457. View

5.
Dinarello C . The proinflammatory cytokines interleukin-1 and tumor necrosis factor and treatment of the septic shock syndrome. J Infect Dis. 1991; 163(6):1177-84. DOI: 10.1093/infdis/163.6.1177. View