علاج التهاب الدماغ الفيروسي في التهاب الدماغ بالفيروس المضخم للخلايا

DOI: 10.1086/589747

• Cytomegalovirus: the combination of ganciclovir plus foscarnet is recommended (B-III); cidofovir is not recommended, because its ability to penetrate the blood-brain barrier has been poorly studied.
• A combination of ganciclovir (5 mg/kg intravenously every 12 h) and foscarnet (60 mg/kg intravenously every 8 h or 90 mg/kg intravenously every 12 h) for 3 weeks, followed by maintenance therapy, is recommended and has led to success in HIV-infected patients, with improvement or stabilization in 74% of 31 patients with either cytomegalovirus encephalitis or myelitis.