Ifosfamide-Induced Metabolic Encephalopathy in 2 Patients With Cutaneous T-Cell Lymphoma Successfully Treated With Methylene Blue

Ifosfamide, an alkylating agent used in cancer treatments, can cause neurotoxicity. The clinical presentation can range from mild symptoms such as acute confusion to non-convulsive seizures, severe irreversible coma, and death. The benefit of methylene blue use in treating ifosfamide-induced metabol...

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Main Authors: Anusha Vakiti MD, Ravi Pilla MD, Muhamad Alhaj Moustafa MD, Jacinth J. Joseph MD, Aarthi G. Shenoy MD
Format: Article
Language:English
Published: SAGE Publishing 2018-07-01
Series:Journal of Investigative Medicine High Impact Case Reports
Online Access:https://doi.org/10.1177/2324709618786769
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author Anusha Vakiti MD
Ravi Pilla MD
Muhamad Alhaj Moustafa MD
Jacinth J. Joseph MD
Aarthi G. Shenoy MD
author_facet Anusha Vakiti MD
Ravi Pilla MD
Muhamad Alhaj Moustafa MD
Jacinth J. Joseph MD
Aarthi G. Shenoy MD
author_sort Anusha Vakiti MD
collection DOAJ
description Ifosfamide, an alkylating agent used in cancer treatments, can cause neurotoxicity. The clinical presentation can range from mild symptoms such as acute confusion to non-convulsive seizures, severe irreversible coma, and death. The benefit of methylene blue use in treating ifosfamide-induced metabolic encephalopathy is not well established. In this article, we present 2 cases of ifosfamide-induced metabolic encephalopathy responsive to methylene blue treatment.
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spelling doaj.art-64e47f7b58d74ce0b88036cf5f843b7f2022-12-22T00:07:57ZengSAGE PublishingJournal of Investigative Medicine High Impact Case Reports2324-70962018-07-01610.1177/2324709618786769Ifosfamide-Induced Metabolic Encephalopathy in 2 Patients With Cutaneous T-Cell Lymphoma Successfully Treated With Methylene BlueAnusha Vakiti MD0Ravi Pilla MD1Muhamad Alhaj Moustafa MD2Jacinth J. Joseph MD3Aarthi G. Shenoy MD4MedStar Washington Hospital Center, Washington, DC, USAMedStar Washington Hospital Center, Washington, DC, USAMedStar Washington Hospital Center, Washington, DC, USAMedStar Washington Hospital Center, Washington, DC, USAMedStar Washington Hospital Center, Washington, DC, USAIfosfamide, an alkylating agent used in cancer treatments, can cause neurotoxicity. The clinical presentation can range from mild symptoms such as acute confusion to non-convulsive seizures, severe irreversible coma, and death. The benefit of methylene blue use in treating ifosfamide-induced metabolic encephalopathy is not well established. In this article, we present 2 cases of ifosfamide-induced metabolic encephalopathy responsive to methylene blue treatment.https://doi.org/10.1177/2324709618786769
spellingShingle Anusha Vakiti MD
Ravi Pilla MD
Muhamad Alhaj Moustafa MD
Jacinth J. Joseph MD
Aarthi G. Shenoy MD
Ifosfamide-Induced Metabolic Encephalopathy in 2 Patients With Cutaneous T-Cell Lymphoma Successfully Treated With Methylene Blue
Journal of Investigative Medicine High Impact Case Reports
title Ifosfamide-Induced Metabolic Encephalopathy in 2 Patients With Cutaneous T-Cell Lymphoma Successfully Treated With Methylene Blue
title_full Ifosfamide-Induced Metabolic Encephalopathy in 2 Patients With Cutaneous T-Cell Lymphoma Successfully Treated With Methylene Blue
title_fullStr Ifosfamide-Induced Metabolic Encephalopathy in 2 Patients With Cutaneous T-Cell Lymphoma Successfully Treated With Methylene Blue
title_full_unstemmed Ifosfamide-Induced Metabolic Encephalopathy in 2 Patients With Cutaneous T-Cell Lymphoma Successfully Treated With Methylene Blue
title_short Ifosfamide-Induced Metabolic Encephalopathy in 2 Patients With Cutaneous T-Cell Lymphoma Successfully Treated With Methylene Blue
title_sort ifosfamide induced metabolic encephalopathy in 2 patients with cutaneous t cell lymphoma successfully treated with methylene blue
url https://doi.org/10.1177/2324709618786769
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