Document Detail


Fluconazole-induced congenital anomalies in three infants.
MedLine Citation:
PMID:  8838193     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Fluconazole has been associated with various teratisms in animals, including craniofacial ossification defects, thin, wavy ribs, and renal pelvis defects. We describe three infants born to women who were receiving fluconazole through or beyond the first trimester of pregnancy. All of the infants had congenital anomalies; no other drug was implicated. Only one of the three infants survived. Their anomalies, similar to those observed in animal studies, were largely craniofacial, skeletal (i.e., thin, wavy ribs and ossification defects), and cardiac. One of these infants was previously reported as having Antley-Bixler syndrome; however, given the chronology described herein and the similarity of this infant to the others, we conclude that her deformities also represent the potent teratogenic effect of fluconazole.
Authors:
T J Pursley; I K Blomquist; J Abraham; H F Andersen; J A Bartley
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Clinical infectious diseases : an official publication of the Infectious Diseases Society of America     Volume:  22     ISSN:  1058-4838     ISO Abbreviation:  Clin. Infect. Dis.     Publication Date:  1996 Feb 
Date Detail:
Created Date:  1996-12-03     Completed Date:  1996-12-03     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9203213     Medline TA:  Clin Infect Dis     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  336-40     Citation Subset:  IM    
Affiliation:
Department of Medicine, Loma Linda University School of Medicine, California 92354, USA.
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MeSH Terms
Descriptor/Qualifier:
Abnormalities, Drug-Induced / etiology*
Adult
Antifungal Agents / adverse effects*
Bone and Bones / abnormalities
Coccidioidomycosis / drug therapy
Face / abnormalities
Female
Fluconazole / adverse effects*
Heart Defects, Congenital / chemically induced
Humans
Infant, Newborn
Male
Meningitis, Fungal / drug therapy
Pregnancy
Pregnancy Complications, Infectious / drug therapy*
Pregnancy Trimester, First
Skull / abnormalities
Chemical
Reg. No./Substance:
0/Antifungal Agents; 86386-73-4/Fluconazole

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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