Adverse drug reaction suggests by a clinical vignette

Albert J FinestoneTemple University School of Medicine, Philadelphia, PA, USAI had a three-lobe pneumonia and toxic encephalopathy in 2004. A lumbar puncture did not show meningitis. Magnetic resonance imaging showed a macroadenoma of the pituitary gland. Prolactin level was significantly elevated,...

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Bibliographic Details
Main Author: Finestone AJ
Format: Article
Language:English
Published: Dove Medical Press 2011-07-01
Series:Clinical Interventions in Aging
Subjects:
Online Access:https://www.dovepress.com/adverse-drug-reaction-suggests-by-a-clinical-vignette-peer-reviewed-article-CIA
Description
Summary:Albert J FinestoneTemple University School of Medicine, Philadelphia, PA, USAI had a three-lobe pneumonia and toxic encephalopathy in 2004. A lumbar puncture did not show meningitis. Magnetic resonance imaging showed a macroadenoma of the pituitary gland. Prolactin level was significantly elevated, making the diagnosis a functioning prolactinoma requiring treatment. Initially, I was treated with the dopamineagonist cabergoline, which is also used in much larger doses to treat Parkinsonism. Recent reports have indicated heart valve damage in Parkinsonism patients treated with ergot-derived dopamine-receptor agonists.
ISSN:1178-1998