Vancomycin-induced severe thrombocytopenia in a young infant

被引:5
作者
Chen, Quan-yao [1 ]
Wan, Jun [1 ]
Yang, Jian-hui [1 ]
Lin, Min [1 ]
Chen, Yao [1 ]
机构
[1] Xiamen Matern & Child Care Hosp, Dept Pharm, Xiamen, Fujian, Peoples R China
关键词
Vancomycin; Infants; Thrombocytopenia; IMMUNE THROMBOCYTOPENIA;
D O I
10.1590/0037-8682-0150-2018
中图分类号
R38 [医学寄生虫学]; Q [生物科学];
学科分类号
07 ; 0710 ; 09 ; 100103 ;
摘要
Vancomycin is a first-line drug for treating methicillin-resistant Staphylococcus aureus. Thrombocytopenia is a rare adverse reaction to vancomycin treatment, and there are no reports of vancomycin-induced thrombocytopenia (VIT) in infants. We describe the case of a 3-month-old girl who was diagnosed with purulent meningitis. After 13 days of treatment with vancomycin, her platelet count reduced to 8 x 10(9)/L. Vancomycin was discontinued, and intravenous methylprednisolone was administered. The platelet count returned to normal after 4 days. Patients, especially young children, receiving vancomycin for a long clinical course should undergo careful monitoring of laboratory indicators and blood tests.
引用
收藏
页码:873 / 875
页数:3
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