A Fatal Case of Nafcillin-Induced Hepatotoxicity: A Case Report and the Literature Review

Background. Drug-induced hepatotoxicity (DIH) is quite common, and there are several recommendations for its treatment based upon its etiology. DIH may range from mild and subclinical to fulminant liver failure and death. Even though there is extensive list of drugs causing DIH, antibiotics, as a cl...

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Main Authors: Mian Bilal Alam, Amin Kadoura, Magesh Sathaiah
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2012/953714
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author Mian Bilal Alam
Amin Kadoura
Magesh Sathaiah
author_facet Mian Bilal Alam
Amin Kadoura
Magesh Sathaiah
author_sort Mian Bilal Alam
collection DOAJ
description Background. Drug-induced hepatotoxicity (DIH) is quite common, and there are several recommendations for its treatment based upon its etiology. DIH may range from mild and subclinical to fulminant liver failure and death. Even though there is extensive list of drugs causing DIH, antibiotics, as a class of drugs, are the most common cause of DIH. Here, we present a fatal case of nafcillin-induced hepatotoxicity confirmed by liver biopsy, with total bilirubin peaking to 21.8 mg/dl and subsequent further extensive evaluation for hepatic injury turning out to be negative.
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spelling doaj-art-b207ba5e4b8e4cf7b45fac1e9d04ee582025-02-03T05:46:08ZengWileyCase Reports in Medicine1687-96271687-96352012-01-01201210.1155/2012/953714953714A Fatal Case of Nafcillin-Induced Hepatotoxicity: A Case Report and the Literature ReviewMian Bilal Alam0Amin Kadoura1Magesh Sathaiah2Department of Internal Medicine, Conemaugh Memorial Medical Center Hospital, Johnstown, PA 15905, USADepartment of Internal Medicine, Conemaugh Memorial Medical Center Hospital, Johnstown, PA 15905, USADepartment of Surgery, University of Pittsburgh School of Medicine, and the University of Pittsburgh Cancer Institute, Pittsburgh, PA 15213, USABackground. Drug-induced hepatotoxicity (DIH) is quite common, and there are several recommendations for its treatment based upon its etiology. DIH may range from mild and subclinical to fulminant liver failure and death. Even though there is extensive list of drugs causing DIH, antibiotics, as a class of drugs, are the most common cause of DIH. Here, we present a fatal case of nafcillin-induced hepatotoxicity confirmed by liver biopsy, with total bilirubin peaking to 21.8 mg/dl and subsequent further extensive evaluation for hepatic injury turning out to be negative.http://dx.doi.org/10.1155/2012/953714
spellingShingle Mian Bilal Alam
Amin Kadoura
Magesh Sathaiah
A Fatal Case of Nafcillin-Induced Hepatotoxicity: A Case Report and the Literature Review
Case Reports in Medicine
title A Fatal Case of Nafcillin-Induced Hepatotoxicity: A Case Report and the Literature Review
title_full A Fatal Case of Nafcillin-Induced Hepatotoxicity: A Case Report and the Literature Review
title_fullStr A Fatal Case of Nafcillin-Induced Hepatotoxicity: A Case Report and the Literature Review
title_full_unstemmed A Fatal Case of Nafcillin-Induced Hepatotoxicity: A Case Report and the Literature Review
title_short A Fatal Case of Nafcillin-Induced Hepatotoxicity: A Case Report and the Literature Review
title_sort fatal case of nafcillin induced hepatotoxicity a case report and the literature review
url http://dx.doi.org/10.1155/2012/953714
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