Drug-Induced Liver Injury Associated with the Use of Everolimus in a Liver Transplant Patient

Drug-induced liver injury (DILI) has not been previously reported as a complication of treatment with everolimus. A 56-year-old Caucasian male liver transplant recipient developed DILI after receiving everolimus. Elevations in transaminase levels occurred within a week of starting everolimus and an...

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Main Authors: Serena Patel, Michel H. Mendler, Mark A. Valasek, Shirley M. Tsunoda
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Transplantation
Online Access:http://dx.doi.org/10.1155/2018/7410508
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author Serena Patel
Michel H. Mendler
Mark A. Valasek
Shirley M. Tsunoda
author_facet Serena Patel
Michel H. Mendler
Mark A. Valasek
Shirley M. Tsunoda
author_sort Serena Patel
collection DOAJ
description Drug-induced liver injury (DILI) has not been previously reported as a complication of treatment with everolimus. A 56-year-old Caucasian male liver transplant recipient developed DILI after receiving everolimus. Elevations in transaminase levels occurred within a week of starting everolimus and an upward trend in the transaminase levels continued with supporting histopathologic changes confirmed by liver biopsy. Within one week of drug discontinuation, his liver enzymes normalized to baseline. This report includes a brief review of the pharmacokinetic properties of everolimus, a review of the relevant literature, and an analysis using the RUCAM and Naranjo algorithms.
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publishDate 2018-01-01
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series Case Reports in Transplantation
spelling doaj-art-744fd1535193465bb1c584bf0671c5fa2025-02-03T06:13:29ZengWileyCase Reports in Transplantation2090-69432090-69512018-01-01201810.1155/2018/74105087410508Drug-Induced Liver Injury Associated with the Use of Everolimus in a Liver Transplant PatientSerena Patel0Michel H. Mendler1Mark A. Valasek2Shirley M. Tsunoda3University of California (UC) San Diego, Skaggs School of Pharmacy and Pharmaceutical Sciences, USAUC San Diego, Department of Medicine, Division of Hepatology, USAUC San Diego, Department of Pathology, USAUniversity of California (UC) San Diego, Skaggs School of Pharmacy and Pharmaceutical Sciences, USADrug-induced liver injury (DILI) has not been previously reported as a complication of treatment with everolimus. A 56-year-old Caucasian male liver transplant recipient developed DILI after receiving everolimus. Elevations in transaminase levels occurred within a week of starting everolimus and an upward trend in the transaminase levels continued with supporting histopathologic changes confirmed by liver biopsy. Within one week of drug discontinuation, his liver enzymes normalized to baseline. This report includes a brief review of the pharmacokinetic properties of everolimus, a review of the relevant literature, and an analysis using the RUCAM and Naranjo algorithms.http://dx.doi.org/10.1155/2018/7410508
spellingShingle Serena Patel
Michel H. Mendler
Mark A. Valasek
Shirley M. Tsunoda
Drug-Induced Liver Injury Associated with the Use of Everolimus in a Liver Transplant Patient
Case Reports in Transplantation
title Drug-Induced Liver Injury Associated with the Use of Everolimus in a Liver Transplant Patient
title_full Drug-Induced Liver Injury Associated with the Use of Everolimus in a Liver Transplant Patient
title_fullStr Drug-Induced Liver Injury Associated with the Use of Everolimus in a Liver Transplant Patient
title_full_unstemmed Drug-Induced Liver Injury Associated with the Use of Everolimus in a Liver Transplant Patient
title_short Drug-Induced Liver Injury Associated with the Use of Everolimus in a Liver Transplant Patient
title_sort drug induced liver injury associated with the use of everolimus in a liver transplant patient
url http://dx.doi.org/10.1155/2018/7410508
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AT shirleymtsunoda druginducedliverinjuryassociatedwiththeuseofeverolimusinalivertransplantpatient