Ofloxacin-ornidazole fixed-dose combination medication-induced pancreatitis with positive rechallenge

Although ofloxacin-ornidazole fixed-dose combination (FDC) is a rampantly used antibiotic combination for mixed-infection diarrhea in India, the adverse drug reaction (ADR) associated with these FDCs remains underreported. Herein, the authors present a case report of a definitive ofloxacin-ornidazol...

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Main Authors: Nikhil Bush, Vishal Sharma, K Chandrahasan, Amol N Patil
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Journal of Family Medicine and Primary Care
Subjects:
Online Access:http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=6;spage=3157;epage=3159;aulast=
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author Nikhil Bush
Vishal Sharma
K Chandrahasan
Amol N Patil
author_facet Nikhil Bush
Vishal Sharma
K Chandrahasan
Amol N Patil
author_sort Nikhil Bush
collection DOAJ
description Although ofloxacin-ornidazole fixed-dose combination (FDC) is a rampantly used antibiotic combination for mixed-infection diarrhea in India, the adverse drug reaction (ADR) associated with these FDCs remains underreported. Herein, the authors present a case report of a definitive ofloxacin-ornidazole FDC-induced pancreatitis. The nonalcoholic adult male patient showed a sharp piercing epigastric pain flowing to the back, gradually rising in severity, which started after taking ofloxacin-ornidazole FDC tablet over the counter. Serum lipase concentration measured in the emergency room was 635 units per liter (normal range- 13–60 units/L) and serum amylase was 377 units/L (normal range- 30–110 units/L). Ultrasonography and an axial computed tomography of the abdomen confirmed the diagnosis of acute pancreatitis. Ofloxacin-ornidazole FDC tablet was stopped immediately. Past treatment records confirmed accidental rechallenge. In conclusion, this is a first case report of ofloxacin-ornidazole FDC-induced pancreatitis.
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spelling doaj.art-42509c49ae264f3881aa0135f7d530762022-12-21T23:53:40ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632020-01-01963157315910.4103/jfmpc.jfmpc_531_20Ofloxacin-ornidazole fixed-dose combination medication-induced pancreatitis with positive rechallengeNikhil BushVishal SharmaK ChandrahasanAmol N PatilAlthough ofloxacin-ornidazole fixed-dose combination (FDC) is a rampantly used antibiotic combination for mixed-infection diarrhea in India, the adverse drug reaction (ADR) associated with these FDCs remains underreported. Herein, the authors present a case report of a definitive ofloxacin-ornidazole FDC-induced pancreatitis. The nonalcoholic adult male patient showed a sharp piercing epigastric pain flowing to the back, gradually rising in severity, which started after taking ofloxacin-ornidazole FDC tablet over the counter. Serum lipase concentration measured in the emergency room was 635 units per liter (normal range- 13–60 units/L) and serum amylase was 377 units/L (normal range- 30–110 units/L). Ultrasonography and an axial computed tomography of the abdomen confirmed the diagnosis of acute pancreatitis. Ofloxacin-ornidazole FDC tablet was stopped immediately. Past treatment records confirmed accidental rechallenge. In conclusion, this is a first case report of ofloxacin-ornidazole FDC-induced pancreatitis.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=6;spage=3157;epage=3159;aulast=adverse eventofloxacinornidazolepancreatitispositive rechallenge
spellingShingle Nikhil Bush
Vishal Sharma
K Chandrahasan
Amol N Patil
Ofloxacin-ornidazole fixed-dose combination medication-induced pancreatitis with positive rechallenge
Journal of Family Medicine and Primary Care
adverse event
ofloxacin
ornidazole
pancreatitis
positive rechallenge
title Ofloxacin-ornidazole fixed-dose combination medication-induced pancreatitis with positive rechallenge
title_full Ofloxacin-ornidazole fixed-dose combination medication-induced pancreatitis with positive rechallenge
title_fullStr Ofloxacin-ornidazole fixed-dose combination medication-induced pancreatitis with positive rechallenge
title_full_unstemmed Ofloxacin-ornidazole fixed-dose combination medication-induced pancreatitis with positive rechallenge
title_short Ofloxacin-ornidazole fixed-dose combination medication-induced pancreatitis with positive rechallenge
title_sort ofloxacin ornidazole fixed dose combination medication induced pancreatitis with positive rechallenge
topic adverse event
ofloxacin
ornidazole
pancreatitis
positive rechallenge
url http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=6;spage=3157;epage=3159;aulast=
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