Document Detail


Quinidine hepatotoxicity. A report of a case and review of the literature.
MedLine Citation:
PMID:  1269875     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A case is described of presumed quinidine hepatotoxicity, characterized by the development of fever, abnormal serum transaminase values, which improved after cessation of the drug but recurred after a challenge dose, and centrizonal hepatocellular necrosis detected on liver biopsy. Morphological changes on electron microscopy, consistent with a drug reaction, are also described. Pertinent features of previous case reports are analyzed, and the histological findings by light microscopy of the present and past cases are discussed. It is suggested that the development of unexplained fever within 1 month of quinidine administration should lead to consideration of possible hepatotoxicity.
Authors:
M J Koch; L B Seeff; C E Crumley; L Rabin; W A Burns
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Gastroenterology     Volume:  70     ISSN:  0016-5085     ISO Abbreviation:  Gastroenterology     Publication Date:  1976 Jun 
Date Detail:
Created Date:  1976-08-02     Completed Date:  1976-08-02     Revised Date:  2009-11-19    
Medline Journal Info:
Nlm Unique ID:  0374630     Medline TA:  Gastroenterology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1136-40     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Alanine Transaminase / blood
Aspartate Aminotransferases / blood
Drug-Induced Liver Injury / etiology*,  pathology
Humans
Liver / drug effects*
Male
Middle Aged
Quinidine / adverse effects*
Chemical
Reg. No./Substance:
56-54-2/Quinidine; EC 2.6.1.1/Aspartate Aminotransferases; EC 2.6.1.2/Alanine Transaminase

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


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