Austin Health

Title
Flucloxacillin-induced aplastic anaemia and liver failure.
Publication Date
2005-04-01
Author(s)
Dobson, Jacqui L
Angus, Peter W
Jones, Robert M
Crowley, Peter
Gow, Paul J
Type of document
Journal Article
OrcId
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DOI
10.1111/j.1432-2277.2004.00014.x
Abstract
Flucloxacillin is a commonly prescribed semisynthetic penicillinase-resistant penicillin primarily used for the treatment of cutaneous staphylococcal infections. It is well-recognized that flucloxacillin may occasionally result in fatal hepatic injury. We report the case of a 40-year-old woman who developed fulminant hepatic failure and aplastic anaemia following a course of oral flucloxacillin. At the time of transplantation the patient was severely neutropenic. Post-transplant, the patient received single donor leucocyte transfusions, which resulted in a dramatic increase in neutrophil count. The patient was discharged from hospital after 120 days with normal liver function and recovered bone marrow. In this report, we discuss the care of patients with aplastic anaemia in the peritransplant setting.
Link
Citation
Transplant International : Official Journal of the European Society For Organ Transplantation; 18(4): 487-9
Jornal Title
Transplant International : Official Journal of the European Society For Organ Transplantation

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