SIGHTINGS


 
Promising Therapy Found
For Flesh-Eating Disease
4-2-99
 
TORONTO - Canadian doctors are reporting great gains in treating people with so-called flesh-eating disease. They're not touting a cure or promising preventative medicine. But they are saving lives -- and limbs.
 
Flesh-eating disease, or necrotizing fasciitis, is caused by a deadly strain of Group A streptococcus bacteria that also cause toxic shock syndrome. The bacteria travel so quickly through the body that doctors have long thought the best way to stop them is to begin an intense round of antibiotics and amputate the area affected if needed.
 
Now a new therapy called intravenous immunoglobin (IVIG) may help to reduce death rates from the disease. Researchers at Toronto's Mount Sinai Hospital are reporting the first study that shows the treatment reduces death.
 
The study found that of 32 patients with the disease who received antibiotics and other standard therapy, only 34 per cent survived. But of 21 patients who also got IVIG, 67 per cent survived-- nearly double the rate.
 
The doctors who treated Quebec Premier Lucien Bouchard in 1995 were among the first to try the treatment. Although he lost a leg, Bouchard probably owes his life to the experimental therapy.
 
IVIG is made of human antibodies that work by neutralizing poisons created by the bacteria that cause the immune system to attack itself.
 
Interestingly, it was developed in the early part of this century using antibodies from horses. The therapy worked so well, eventually the disease was nearly wiped out and the therapy forgotten.





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