Fatal acute pancreatitis in a patient with visceral leishmaniasis during miltefosine treatment

Pancreatitis is a known side effect of the once commonly used drug, sodium stibogluconate, for treatment of visceral leishmaniasis (VL). In India, miltefosine has recently been introduced as the first-line drug. Its side effects include loose motions, vomiting, and teratogenicity. We report here a c...

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Veröffentlicht in:Journal of postgraduate medicine 2013-10, Vol.59 (4), p.306-308
Hauptverfasser: Pandey, K, Singh, D, Lal, C S, Das, V N R, Das, P
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container_end_page 308
container_issue 4
container_start_page 306
container_title Journal of postgraduate medicine
container_volume 59
creator Pandey, K
Singh, D
Lal, C S
Das, V N R
Das, P
description Pancreatitis is a known side effect of the once commonly used drug, sodium stibogluconate, for treatment of visceral leishmaniasis (VL). In India, miltefosine has recently been introduced as the first-line drug. Its side effects include loose motions, vomiting, and teratogenicity. We report here a case of a 41-year-old parasitologically confirmed male case of VL, who developed acute pancreatitis during treatment with miltefosine. On the 13 th day of treatment, he presented with abdominal pain and vomiting. The biochemical, hematological, and radiological features were suggestive of acute pancreatitis. The patient was put on conservative treatment for pancreatitis at the specialized center but succumbed to renal failure and septicaemia.
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subjects Adult
Antiprotozoal Agents - adverse effects
Care and treatment
Drug therapy
Fatal Outcome
Humans
Kala-azar
Leishmaniasis, Visceral - drug therapy
Male
Pancreatitis
Pancreatitis, Acute Necrotizing - chemically induced
Pancreatitis, Acute Necrotizing - diagnostic imaging
Phosphorylcholine - adverse effects
Phosphorylcholine - analogs & derivatives
Radiography
title Fatal acute pancreatitis in a patient with visceral leishmaniasis during miltefosine treatment
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