Schacherer, Doris and Zeitoun, Martina and Buettner, Roland and Gelbmann, Cornelia and Obed, Aiman and Schlitt, Hans-Juergen and Schoelmerich, Juergen and Kirchner, Gabi I. (2007) Sirolimus-induced drug fever and ciclosporin-induced leukencephalopathia with seizures in one liver transplant recipient. WORLD JOURNAL OF GASTROENTEROLOGY, 13 (45). pp. 6090-6093. ISSN 1007-9327,
Full text not available from this repository. (Request a copy)Abstract
We describe the first case of sirolimus-induced drug fever in a female liver transplant recipient, with a history of hepatitis C-induced end-stage liver cirrhosis in 1999. In 2005, six years after transplantation, she developed calcineurin inhibitor-induced renal function impairment. Immunosuppression was switched from tacrolimus to sirolimus. Two days after the intake of sirolimus, she developed daily fever spikes, but no infectious focus was found. Antibiotic therapy had no influence on the fever. After fourteen days, sirolimus was switched back to tacrolimus and the fever disappeared. In history, the patient developed ciclosporin-induced, generalized seizures eleven days after liver transplantation, followed by the development of a motoric speech disorder. Magnetic resonance imaging (MRI) findings were consistent with leucoencephalopathy, therefore immunosuppressive therapy was changed from ciclosporin to tacrolimus and the neurologic symptoms improved significantly. Our case is the first reported case of sirolimus-induced drug fever. In addition, the patient showed the rare occurrence of ciclosporin-induced leukencephalopathy with seizures. (c) 2007 WJG. All rights reserved.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | LEUKOENCEPHALOPATHY; TACROLIMUS; RAPAMYCIN; FK506; liver transplantation; immunosuppression; side effects |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Chirurgie Medicine > Lehrstuhl für Innere Medizin I |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 25 Nov 2020 07:30 |
| Last Modified: | 25 Nov 2020 07:30 |
| URI: | https://pred.uni-regensburg.de/id/eprint/31809 |
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