A case of meropenem-induced liver injury and jaundice

This report describes what we believe is the first reported case of clinically significant cholestasis and acute liver injury within three days of meropenem therapy. An 83-year-old Hispanic female was admitted for sepsis of unknown origin and was started on intravenous meropenem. Three days followin...

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Main Authors: Szeya Cheung, Jennifer Bulovic, Ajish Pillai, Trehan Manoj, Katriyar Neeraj
Format: Article
Language:English
Published: Greater Baltimore Medical Center 2021-01-01
Series:Journal of Community Hospital Internal Medicine Perspectives
Subjects:
Online Access:http://dx.doi.org/10.1080/20009666.2020.1845929
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author Szeya Cheung
Jennifer Bulovic
Ajish Pillai
Trehan Manoj
Katriyar Neeraj
author_facet Szeya Cheung
Jennifer Bulovic
Ajish Pillai
Trehan Manoj
Katriyar Neeraj
author_sort Szeya Cheung
collection DOAJ
description This report describes what we believe is the first reported case of clinically significant cholestasis and acute liver injury within three days of meropenem therapy. An 83-year-old Hispanic female was admitted for sepsis of unknown origin and was started on intravenous meropenem. Three days following initiation of the antibiotic, the patient developed mixed hepatocellular and cholestatic liver injury with jaundice and pruritus. Possible causes of cholestasis were excluded after extensive investigations. A drug-induced liver injury was suspected and meropenem was discontinued. Following discontinuation of meropenem, the patient demonstrated symptomatic and laboratory improvements, and her liver enzymes and bilirubin levels were normalized.
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spelling doaj.art-50f1ad054cb649fea9dddbc4a2d2d6e32023-01-02T02:39:46ZengGreater Baltimore Medical CenterJournal of Community Hospital Internal Medicine Perspectives2000-96662021-01-0111114314410.1080/20009666.2020.18459291845929A case of meropenem-induced liver injury and jaundiceSzeya Cheung0Jennifer Bulovic1Ajish Pillai2Trehan Manoj3Katriyar Neeraj4Long Island Community HospitalLong Island Community HospitalLong Island Community HospitalLong Island Community HospitalLong Island Community HospitalThis report describes what we believe is the first reported case of clinically significant cholestasis and acute liver injury within three days of meropenem therapy. An 83-year-old Hispanic female was admitted for sepsis of unknown origin and was started on intravenous meropenem. Three days following initiation of the antibiotic, the patient developed mixed hepatocellular and cholestatic liver injury with jaundice and pruritus. Possible causes of cholestasis were excluded after extensive investigations. A drug-induced liver injury was suspected and meropenem was discontinued. Following discontinuation of meropenem, the patient demonstrated symptomatic and laboratory improvements, and her liver enzymes and bilirubin levels were normalized.http://dx.doi.org/10.1080/20009666.2020.1845929drug-induced liver injuryantibiotic-induced liver injuryantibiotic-induced jaundicemeropenem-induced cholestatic jaundice
spellingShingle Szeya Cheung
Jennifer Bulovic
Ajish Pillai
Trehan Manoj
Katriyar Neeraj
A case of meropenem-induced liver injury and jaundice
Journal of Community Hospital Internal Medicine Perspectives
drug-induced liver injury
antibiotic-induced liver injury
antibiotic-induced jaundice
meropenem-induced cholestatic jaundice
title A case of meropenem-induced liver injury and jaundice
title_full A case of meropenem-induced liver injury and jaundice
title_fullStr A case of meropenem-induced liver injury and jaundice
title_full_unstemmed A case of meropenem-induced liver injury and jaundice
title_short A case of meropenem-induced liver injury and jaundice
title_sort case of meropenem induced liver injury and jaundice
topic drug-induced liver injury
antibiotic-induced liver injury
antibiotic-induced jaundice
meropenem-induced cholestatic jaundice
url http://dx.doi.org/10.1080/20009666.2020.1845929
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