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- Title
LTA4H Genotype Is Associated with Susceptibility to Bacterial Meningitis but Is Not a Critical Determinant of Outcome.
- Authors
Dunstan, Sarah J.; Tram, Trinh Thi Bich; Thwaites, Guy E.; Chau, Tran Thi Hong; Phu, Nguyen Hoan; Hien, Tran Tinh; Farrar, Jeremy J.; Wolbers, Marcel; Mai, Nguyen Thi Hoang
- Abstract
Adjunctive dexamethasone saves lives in the treatment of tuberculous meningitis but this response is influenced by the patient’s LTA4H genotype. Despite less certain benefit, adjunctive dexamethasone is also frequently used in the treatment of pyogenic bacterial meningitis, but the influence of LTA4H genotype on outcomes has not been previously investigated. We genotyped the LTA4H promoter region SNP (rs17525495) in 390 bacterial meningitis patients and 751 population controls. rs17525495 was associated with susceptibility to bacteriologically confirmed bacterial meningitis (P = 0.01, OR 1.27 95% confidence interval [CI] 1.05–1.54) but did not influence clinical presentation, disease severity or survival following dexamethasone treatment.
- Subjects
GENOTYPES; DISEASE susceptibility; BACTERIAL meningitis; DEXAMETHASONE; SINGLE nucleotide polymorphisms; HEALTH outcome assessment; BACTERIAL disease treatment
- Publication
PLoS ONE, 2015, Vol 10, Issue 3, p1
- ISSN
1932-6203
- Publication type
Article
- DOI
10.1371/journal.pone.0118789