Potential Consequences of Essential Drug Shortages in Canada: Brain Abscess due to Nocardia farcinica Associated with Dapsone Prophylaxis for Pneumocystis jirovecii Pneumonia

In 2012, Canadian pharmacies experienced a shortage of trimethoprim-sulfamethoxazole tablets. Drug shortages may result in unintended clinical consequences such as infection with pathogens against which the alternative medication is ineffective. This is highlighted in the present article, which desc...

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Main Authors: Terry C Wuerz, Eric J Bow, Matthew D Seftel
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Canadian Journal of Infectious Diseases and Medical Microbiology
Online Access:http://dx.doi.org/10.1155/2013/805797
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author Terry C Wuerz
Eric J Bow
Matthew D Seftel
author_facet Terry C Wuerz
Eric J Bow
Matthew D Seftel
author_sort Terry C Wuerz
collection DOAJ
description In 2012, Canadian pharmacies experienced a shortage of trimethoprim-sulfamethoxazole tablets. Drug shortages may result in unintended clinical consequences such as infection with pathogens against which the alternative medication is ineffective. This is highlighted in the present article, which describes a case of brain abscess due to Nocardia species that developed while receiving dapsone as an alternative for prophylaxis against Pneumocystis jirovecii pneumonia in a highly immune-suppressed patient. Clinicians should be cognizant of these issues when prescribing alternative agents.
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spelling doaj-art-bee8c8fb44284c76a43de1440310ebd02025-02-03T05:45:40ZengWileyCanadian Journal of Infectious Diseases and Medical Microbiology1712-95322013-01-0124315916110.1155/2013/805797Potential Consequences of Essential Drug Shortages in Canada: Brain Abscess due to Nocardia farcinica Associated with Dapsone Prophylaxis for Pneumocystis jirovecii PneumoniaTerry C Wuerz0Eric J Bow1Matthew D Seftel2Department of Internal Medicine, Section of Infectious Diseases, University of Manitoba, Winnipeg, Manitoba, CanadaDepartment of Internal Medicine, Section of Infectious Diseases, University of Manitoba, Winnipeg, Manitoba, CanadaDepartment of Internal Medicine, Section of Haematology/Oncology, University of Manitoba, Winnipeg, Manitoba, CanadaIn 2012, Canadian pharmacies experienced a shortage of trimethoprim-sulfamethoxazole tablets. Drug shortages may result in unintended clinical consequences such as infection with pathogens against which the alternative medication is ineffective. This is highlighted in the present article, which describes a case of brain abscess due to Nocardia species that developed while receiving dapsone as an alternative for prophylaxis against Pneumocystis jirovecii pneumonia in a highly immune-suppressed patient. Clinicians should be cognizant of these issues when prescribing alternative agents.http://dx.doi.org/10.1155/2013/805797
spellingShingle Terry C Wuerz
Eric J Bow
Matthew D Seftel
Potential Consequences of Essential Drug Shortages in Canada: Brain Abscess due to Nocardia farcinica Associated with Dapsone Prophylaxis for Pneumocystis jirovecii Pneumonia
Canadian Journal of Infectious Diseases and Medical Microbiology
title Potential Consequences of Essential Drug Shortages in Canada: Brain Abscess due to Nocardia farcinica Associated with Dapsone Prophylaxis for Pneumocystis jirovecii Pneumonia
title_full Potential Consequences of Essential Drug Shortages in Canada: Brain Abscess due to Nocardia farcinica Associated with Dapsone Prophylaxis for Pneumocystis jirovecii Pneumonia
title_fullStr Potential Consequences of Essential Drug Shortages in Canada: Brain Abscess due to Nocardia farcinica Associated with Dapsone Prophylaxis for Pneumocystis jirovecii Pneumonia
title_full_unstemmed Potential Consequences of Essential Drug Shortages in Canada: Brain Abscess due to Nocardia farcinica Associated with Dapsone Prophylaxis for Pneumocystis jirovecii Pneumonia
title_short Potential Consequences of Essential Drug Shortages in Canada: Brain Abscess due to Nocardia farcinica Associated with Dapsone Prophylaxis for Pneumocystis jirovecii Pneumonia
title_sort potential consequences of essential drug shortages in canada brain abscess due to nocardia farcinica associated with dapsone prophylaxis for pneumocystis jirovecii pneumonia
url http://dx.doi.org/10.1155/2013/805797
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