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重症肌无力可能由许多因素所加剧,包括感染、外科手术、甲状腺疾病、医疗不顺从性及某些药物.氨基糖苷类及大环内酯类是引起肌无力危象最多的药物.庆大霉素和妥布霉素能使重症肌无力加剧.文献中最近有二个红霉素诱导肌无力危象的报道.已有报告克拉霉素治疗引起短暂肌无力综合征.来自瑞士的一个报告中1例有红霉素致肌无力危象史的病人牵涉到阿齐霉素.本文作者报告3例阿齐霉素引起的肌无力,其中1例阿齐霉素引起重症肌无力第一次发作.
Myasthenia gravis may be aggravated by a number of factors, including infection, surgery, thyroid disease, medical non-compliance, and certain drugs.Aminoglycosides and macrolides are drugs that cause the most danger of myasthenia gravis Su and tobramycin can aggravate myasthenia gravis There are two recent reports of erythromycin-induced myasthenic crisis in the literature Clarithromycin has been reported to cause transient myasthenia syndrome in a report from Switzerland One case of erythromycin-induced myasthenic crisis in patients with azithromycin crisis involved.The authors report three cases of azithromycin-induced myasthenia gravis, of which 1 cases of azithromycin caused the first episode of myasthenia gravis .