2017, Number 5
Drug-induced agranulocytosis
Language: Spanish
References: 10
Page: 760-764
PDF size: 170.46 Kb.
ABSTRACT
Introduction: agranulocytosisis a rare pathological condition in clinical practice, a potentially serious cause of leukopenia. It may be of central or peripheral origin and it is characterized by the high frequency of acute infections in sick people. The vast majority of severe, acute, isolated, and reversible neutropenia are of drug origin. Case Report: a 49-year-old male patient, presenting high respiratory symptoms due to coryza, sneezing and fever for several days of evolution, receiving symptomatic treatment with dipyrone; the fever became higher and persistent affecting his general condition. He came to the health services where the diagnosis of agranulocytosis associated with dipyrone was made. Given its severity he was admitted to an intensive care unit in isolation with broad spectrum antibiotic-therapy, granulocytic colony stimulating factor, and eventually died. Conclusion: this case alerts us concerning the importance of early detection of leukopenia due to dipyrone, although the patient received adequate treatment for his condition, the evolution was unfavourable and he died. This shows the serious prognosis of this disease.REFERENCES
Pons A, Undurraga J, Batalla A, Bernardo M. Clozapina y agranulocitosis en España: ¿Tenemos una población más segura? Seguimiento hematológico a 5 años de un cohorte de pacientes tratados con clozapina. Revista de Psiquiatría y Salud Mental [Internet].2012 ene-mar [citado 10 ene 2017]; 5 [aprox 3 p].Disponible en:http://www.elsevier.es/es-revista-revista-psiquiatria-salud-mental-286-articulo-clozapina-agranulocitosis-espana-tenemos-una-S1888989111001807
Guillén Ibáñez MJ, LagarónCabello MB, Fiare Grima A, Martínez Alfaro S.Agranulocitosis por metamizol.Semergen[Internet].2015 [citado 10 ene 2017]; 41: [aprox 2 p].Disponible en:http://www.elsevier.es/es-revista-semergen-medicina-familia-40-congresos-37-congreso-nacional-semergen-22-sesion-rea-hematologia-1884-comunicacion-agranulocitosis-por-metamizol-20793
Buitrago González T.P, Calderón Ospina C.A, Vallejos Narváez A. Dipirona: ¿Beneficios subestimados o riesgos sobredimensionados? Revisión de la Literatura.Rev. Colomb. Cienc. Quím. Farm[Internet].2014 [citado 10 ene 2017]; 43(1): [aprox 10 p].Disponible en:http://www.scielo.org.co/pdf/rccqf/v43n1/v43n1a12.pdf
Goldstein JI, Jarskog LF, Hilliard C, Alfirevic C, Duncan LD. Fourches H. et al. "Clozapine-inducedagranulocytosis is associated with rare HLA-DQB1 and HLA-B.NatCommun[Internet].2015 [citado 10 ene 2017]; 5(1): [aprox 2 p].Disponible en:https://dash.harvard.edu/bitstream/handle/1/14351080/4155508.pdf?sequence=1
Tamayo Martínez N, Bohórquez P, Naranda A.P, García Valenciac J, Jaramillo González L.E et al., Arenas González.Evaluación y seguimiento hematológico del paciente con diagnóstico de esquizofrenia. Revcolombpsiquiat[Internet].2015 [citado 10 ene 2017]; 44(3): [aprox 5 p].Disponible en:http://www.redalyc.org/pdf/806/80643082002.pdf