Disseminated Intravascular Coagulation, Antithrombin III, and Complement in Meningococcal Infections
- 12 January 1981
- journal article
- research article
- Published by Wiley in Acta Medica Scandinavica
- Vol. 209 (1-6) , 221-227
- https://doi.org/10.1111/j.0954-6820.1981.tb11581.x
Abstract
Serial assessments of some blood coagulation factors, antithrombin HI (AT III), and complement were made in 18 patients with meningococcal (mgc) infection. All patients displayed laboratory evidence of activation of the blood clotting system. Two patients showed clinical signs of disseminated intravascular coagulation. Only AT III differed significantly between patients with and without complications. There was no correlation between changes in blood clotting, activation of the complement system and the course or duration of the disease. These results do not enable one to identify patients who need specific prophylactic therapy. Controlled clinical trials, including administration of heparin, dextran, aprotinin, and others, are still required to ensure optimal treatment in fulminant mgc infections.Keywords
This publication has 37 references indexed in Scilit:
- Determination of a new rapid plasmin inhibitor in human blood by means of a plasmin specific tripeptide substrateScandinavian Journal of Clinical and Laboratory Investigation, 1977
- Endotoxin induced disseminated intravascular clotting: Evidence that it is mediated by neutrophil production of tissue factorThrombosis Research, 1977
- Antithrombin III (AT-III) as a diagnostic aid in disseminated intravascular coagulationThrombosis Research, 1977
- Membrane Changes in Human Platelets Induced by Lipopolysaccharide EndotoxinBritish Journal of Haematology, 1977
- Antifactor Xa Activity Measured with Amidolytic MethodsPathophysiology of Haemostasis and Thrombosis, 1976
- In vivo activation of C3 revealed by crossed immunoelectrophoresis as a parameter of immunological activity in diseaseClinica Chimica Acta; International Journal of Clinical Chemistry, 1975
- Evidence for Participation of Granulocytes in the Pathogenesis of the Generalized Shwartzman Reaction: A ReviewThe Journal of Infectious Diseases, 1973
- Increase in Fibrinogen and Fibrin-Related Antigen in Human Serum Due to In Vitro Lysis of Fibrin by ThrombinJournal of Clinical Investigation, 1972
- Detection of serum fibrinogen and fibrin degradation products: Comparison of six technics using purified products and application in clinical studiesThe American Journal of Medicine, 1971
- The Shwartzman Reaction: Pathogenetic Mechanisms and Clinical ManifestationsAnnual Review of Medicine, 1965