Austin Health

Title
Resolution of norfloxacin-induced acute liver failure after N-acetylcysteine therapy: further support for the use of NAC in drug-induced ALF?
Publication Date
2016-01-06
Author(s)
Elliott, Timothy Ross
Symes, Tiffany
Kannourakis, George
Angus, Peter W
Subject
Acetylcysteine
Anti-Bacterial Agents
Drug-Induced Liver Injury
Norfloxacin
Type of document
Journal Article
OrcId
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DOI
10.1136/bcr-2015-213189
Abstract
Liver injury due to idiosyncratic drug reactions can be difficult to diagnose and may lead to acute liver failure (ALF), which has a high mortality rate. N-acetylcysteine (NAC) is effective treatment for paracetamol toxicity, but its role in non-paracetamol drug-induced ALF is controversial. We report on the use of a validated bedside tool to establish causality for drug-induced liver injury (DILI) and describe the first case of resolution of norfloxacin-induced ALF after NAC therapy. NAC is easy to administer and generally has a good safety profile. We discuss the evidence to support the use of NAC in ALF secondary to DILI and possibilities for further clinical research in this field.
Link
Citation
BMJ Case Reports 2016; 2016: bcr-2015-213189
Jornal Title
BMJ Case Reports

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