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Hepatitis Associated with Amoxicillin/Clavulanic Acid and/or Ciprofloxacin
We describe an elderly patient with normal pre-existing liver functions who was treated with amoxicillin/clavulanic acid and later ciprofloxacin for acute bronchitis. He developed a pattern of liver dysfunction consistent with hepatocellular injury, with clinical features of a hypersensitivity react...
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Published in: | The American journal of the medical sciences 2003-01, Vol.325 (1), p.31-33 |
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description | We describe an elderly patient with normal pre-existing liver functions who was treated with amoxicillin/clavulanic acid and later ciprofloxacin for acute bronchitis. He developed a pattern of liver dysfunction consistent with hepatocellular injury, with clinical features of a hypersensitivity reaction, which may be attributable to either or both of the antimicrobial agents used. This gradually resolved over a 4-week time period, with conservative management. A review of the relevant literature on drug-induced hepatotoxicity is also presented. |
doi_str_mv | 10.1097/00000441-200301000-00006 |
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He developed a pattern of liver dysfunction consistent with hepatocellular injury, with clinical features of a hypersensitivity reaction, which may be attributable to either or both of the antimicrobial agents used. This gradually resolved over a 4-week time period, with conservative management. A review of the relevant literature on drug-induced hepatotoxicity is also presented.</description><identifier>ISSN: 0002-9629</identifier><identifier>EISSN: 1538-2990</identifier><identifier>DOI: 10.1097/00000441-200301000-00006</identifier><identifier>PMID: 12544082</identifier><identifier>CODEN: AJMSA9</identifier><language>eng</language><publisher>Hagerstown, MD: Elsevier Inc</publisher><subject>Aged ; Aged, 80 and over ; Alanine Transaminase - blood ; Alkaline Phosphatase - blood ; Amoxicillin-Potassium Clavulanate Combination - adverse effects ; Amoxicillin/ clavulanic acid ; Aspartate Aminotransferases - blood ; Biological and medical sciences ; Chemical and Drug Induced Liver Injury - diagnosis ; Chemical and Drug Induced Liver Injury - etiology ; Chemical and Drug Induced Liver Injury - therapy ; Ciprofloxacin ; Ciprofloxacin - adverse effects ; Drug toxicity and drugs side effects treatment ; Hepatotoxicity ; Humans ; Male ; Medical sciences ; Miscellaneous (drug allergy, mutagens, teratogens...) ; Pharmacology. 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He developed a pattern of liver dysfunction consistent with hepatocellular injury, with clinical features of a hypersensitivity reaction, which may be attributable to either or both of the antimicrobial agents used. This gradually resolved over a 4-week time period, with conservative management. A review of the relevant literature on drug-induced hepatotoxicity is also presented.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Alanine Transaminase - blood</subject><subject>Alkaline Phosphatase - blood</subject><subject>Amoxicillin-Potassium Clavulanate Combination - adverse effects</subject><subject>Amoxicillin/ clavulanic acid</subject><subject>Aspartate Aminotransferases - blood</subject><subject>Biological and medical sciences</subject><subject>Chemical and Drug Induced Liver Injury - diagnosis</subject><subject>Chemical and Drug Induced Liver Injury - etiology</subject><subject>Chemical and Drug Induced Liver Injury - therapy</subject><subject>Ciprofloxacin</subject><subject>Ciprofloxacin - adverse effects</subject><subject>Drug toxicity and drugs side effects treatment</subject><subject>Hepatotoxicity</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Miscellaneous (drug allergy, mutagens, teratogens...)</subject><subject>Pharmacology. 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Drug treatments</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zaidi, Syed A.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>The American journal of the medical sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zaidi, Syed A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hepatitis Associated with Amoxicillin/Clavulanic Acid and/or Ciprofloxacin</atitle><jtitle>The American journal of the medical sciences</jtitle><addtitle>Am J Med Sci</addtitle><date>2003-01</date><risdate>2003</risdate><volume>325</volume><issue>1</issue><spage>31</spage><epage>33</epage><pages>31-33</pages><issn>0002-9629</issn><eissn>1538-2990</eissn><coden>AJMSA9</coden><abstract>We describe an elderly patient with normal pre-existing liver functions who was treated with amoxicillin/clavulanic acid and later ciprofloxacin for acute bronchitis. He developed a pattern of liver dysfunction consistent with hepatocellular injury, with clinical features of a hypersensitivity reaction, which may be attributable to either or both of the antimicrobial agents used. This gradually resolved over a 4-week time period, with conservative management. A review of the relevant literature on drug-induced hepatotoxicity is also presented.</abstract><cop>Hagerstown, MD</cop><pub>Elsevier Inc</pub><pmid>12544082</pmid><doi>10.1097/00000441-200301000-00006</doi><tpages>3</tpages></addata></record> |
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subjects | Aged Aged, 80 and over Alanine Transaminase - blood Alkaline Phosphatase - blood Amoxicillin-Potassium Clavulanate Combination - adverse effects Amoxicillin/ clavulanic acid Aspartate Aminotransferases - blood Biological and medical sciences Chemical and Drug Induced Liver Injury - diagnosis Chemical and Drug Induced Liver Injury - etiology Chemical and Drug Induced Liver Injury - therapy Ciprofloxacin Ciprofloxacin - adverse effects Drug toxicity and drugs side effects treatment Hepatotoxicity Humans Male Medical sciences Miscellaneous (drug allergy, mutagens, teratogens...) Pharmacology. Drug treatments |
title | Hepatitis Associated with Amoxicillin/Clavulanic Acid and/or Ciprofloxacin |
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