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The disadvantages are toxicity (mild to severe neutropenia and thrombocytopenia that is reversible); peripheral and optic neuritis, which is more often seen with longer durations of therapy and may not be reversible; multidrug interactions, especially serotonin uptake inhibitors; and emergence of resistance during treatment.

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Combinations of a beta-lactam plus another agent, such as an aminoglycoside, kill some organisms most effectively.

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Hemic and Lymphatic Systems: anemia, thrombocytopenia, thrombocytopenic purpura, eosinophilia, leukopenia, and agranulacytosis have been reported during therapy with penicillins.

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With this procedure, a report from the laboratory of "Susceptible" indicates that the infecting organism is likely to respond to ampicillin and sulbactam for injection therapy and a report of "Resistant" indicates that the infecting organism is not likely to respond to therapy.

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In addition, a second, albeit infrequent, peak of late embolic events has been observed to occur 15 to 30 weeks after the diagnosis of IE and has been associated with nonhealing vegetations (failure of a vegetation to stabilize or diminish in size) as defined by echocardiography.

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