Intravenous Voriconazole after Toxic Oral Administration

被引:8
作者
Alffenaar, J. W. C. [1 ]
van Assen, S. [2 ]
de Monchy, J. G. R. [3 ]
Uges, D. R. A. [1 ]
Kosterink, J. G. W. [1 ]
van der Werf, T. S. [2 ]
机构
[1] Univ Groningen, Univ Med Ctr Groningen, Dept Hosp & Clin Pharm, NL-9700 RB Groningen, Netherlands
[2] Univ Groningen, Univ Med Ctr Groningen, Dept Internal Med, Div Infect Dis, NL-9700 RB Groningen, Netherlands
[3] Univ Groningen, Univ Med Ctr Groningen, Dept Allergol, NL-9700 RB Groningen, Netherlands
关键词
HEPATOTOXICITY;
D O I
10.1128/AAC.01193-09
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
In a male patient with rhinocerebral invasive aspergillosis, prolonged high-dosage oral administration of voriconazole led to hepatotoxicity combined with a severe cutaneous reaction while intravenous administration in the same patient did not. High concentrations in the portal blood precipitate liver enzyme abnormalities, and therefore, oral administration of voriconazole may have a hepatotoxicity profile different from that of intravenous (i.v.) administration. Intravenously administered voriconazole might still be an option after oral-voriconazole-induced toxicity has resolved.
引用
收藏
页码:2741 / 2742
页数:2
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