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 |
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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. |
doi_str_mv | 10.4103/0022-3859.123161 |
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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.</description><identifier>ISSN: 0022-3859</identifier><identifier>EISSN: 0972-2823</identifier><identifier>DOI: 10.4103/0022-3859.123161</identifier><identifier>PMID: 24346389</identifier><language>eng</language><publisher>India: Medknow Publications and Media Pvt. 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The patient was put on conservative treatment for pancreatitis at the specialized center but succumbed to renal failure and septicaemia.</description><subject>Adult</subject><subject>Antiprotozoal Agents - adverse effects</subject><subject>Care and treatment</subject><subject>Drug therapy</subject><subject>Fatal Outcome</subject><subject>Humans</subject><subject>Kala-azar</subject><subject>Leishmaniasis, Visceral - drug therapy</subject><subject>Male</subject><subject>Pancreatitis</subject><subject>Pancreatitis, Acute Necrotizing - chemically induced</subject><subject>Pancreatitis, Acute Necrotizing - diagnostic imaging</subject><subject>Phosphorylcholine - adverse effects</subject><subject>Phosphorylcholine - analogs & derivatives</subject><subject>Radiography</subject><issn>0022-3859</issn><issn>0972-2823</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptkctr3DAQxkVpaV6991QMPXszeliWjiEkbSCQS3qN0MrjjYItbyU5If99ZDYPAosO0ox-3wwfHyE_KawEBX4KwFjNVaNXlHEq6RdyCLplNVOMfy3vt-8DcpTSAwCVUvDv5IAJLiRX-pDcXdpsh8q6OWO1tcFFtNlnnyofKls62WPI1ZPP99WjTw5joQf06X60wdtUwG6OPmyq0Q8Z-yn5gFVepoxFeEK-9XZI-OP1Pib_Li9uz__W1zd_rs7PrmsnWpHrljkhAIVUPciOYi-Z4owjtFKvBUCzLoVWHBQo1lLLZddQ1jdcIyinLD8mv3dzt3H6P2PK5mGaYygrDRVtsSoaqT-ojR3Q-NBPOVo3FlvmjDdCKy3oQtV7qA2GxfsUsPel_Ylf7eHL6XD0bq8AdgIXp5Qi9mYb_Wjjs6FgllzNEpxZgjO7XIvk16u_eT1i9y54C5K_AC6Lmq8</recordid><startdate>20131001</startdate><enddate>20131001</enddate><creator>Pandey, K</creator><creator>Singh, D</creator><creator>Lal, C S</creator><creator>Das, V N R</creator><creator>Das, P</creator><general>Medknow Publications and Media Pvt. 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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.</abstract><cop>India</cop><pub>Medknow Publications and Media Pvt. Ltd</pub><pmid>24346389</pmid><doi>10.4103/0022-3859.123161</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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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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