Hepatotoxicidade à levofloxacina. Risco aumentado em diabéticos?

Levofloxacin, commonly used in medical practice, is prescribed to treat pneumonia in patients with comorbidities. Although generally well tolerated and safe, it has a well-known, but rarely reported, undercharacterized and ill-identified hepatotoxicity, with an unknown signature. With cases of fulmi...

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Main Authors: Joana Coelho, Carla Gonçalves, Sara Leitão, R Marques Dos Santos, J Nascimento Costa
Format: Article
Language:English
Published: Ordem dos Médicos 2011-12-01
Series:Acta Médica Portuguesa
Online Access:https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1529
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author Joana Coelho
Carla Gonçalves
Sara Leitão
R Marques Dos Santos
J Nascimento Costa
author_facet Joana Coelho
Carla Gonçalves
Sara Leitão
R Marques Dos Santos
J Nascimento Costa
author_sort Joana Coelho
collection DOAJ
description Levofloxacin, commonly used in medical practice, is prescribed to treat pneumonia in patients with comorbidities. Although generally well tolerated and safe, it has a well-known, but rarely reported, undercharacterized and ill-identified hepatotoxicity, with an unknown signature. With cases of fulminant hepatitis, cholestasis episodes reveal an apparently benign progression. Its capability of interference with the glucidic metabolism is also well-known, and the susceptibility factors to these events include age, presence of multiple pathologies and polymedication. The link between Diabetes Mellitus and hepatotoxicity has not yet been identified. Nonetheless, reports of several cases in literature along with the identification of two cases in insulin-treated diabetics, lead to believe that this is a higher-risk group.
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spelling doaj.art-dd522ad8190f417190e863ca6e337f472022-12-22T02:26:10ZengOrdem dos MédicosActa Médica Portuguesa0870-399X1646-07582011-12-012410.20344/amp.1529Hepatotoxicidade à levofloxacina. Risco aumentado em diabéticos?Joana Coelho0Carla GonçalvesSara LeitãoR Marques Dos SantosJ Nascimento CostaServiço de Medicina Interna, Hospitais da Universidade de Coimbra, Coimbra, Portugal.Levofloxacin, commonly used in medical practice, is prescribed to treat pneumonia in patients with comorbidities. Although generally well tolerated and safe, it has a well-known, but rarely reported, undercharacterized and ill-identified hepatotoxicity, with an unknown signature. With cases of fulminant hepatitis, cholestasis episodes reveal an apparently benign progression. Its capability of interference with the glucidic metabolism is also well-known, and the susceptibility factors to these events include age, presence of multiple pathologies and polymedication. The link between Diabetes Mellitus and hepatotoxicity has not yet been identified. Nonetheless, reports of several cases in literature along with the identification of two cases in insulin-treated diabetics, lead to believe that this is a higher-risk group.https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1529
spellingShingle Joana Coelho
Carla Gonçalves
Sara Leitão
R Marques Dos Santos
J Nascimento Costa
Hepatotoxicidade à levofloxacina. Risco aumentado em diabéticos?
Acta Médica Portuguesa
title Hepatotoxicidade à levofloxacina. Risco aumentado em diabéticos?
title_full Hepatotoxicidade à levofloxacina. Risco aumentado em diabéticos?
title_fullStr Hepatotoxicidade à levofloxacina. Risco aumentado em diabéticos?
title_full_unstemmed Hepatotoxicidade à levofloxacina. Risco aumentado em diabéticos?
title_short Hepatotoxicidade à levofloxacina. Risco aumentado em diabéticos?
title_sort hepatotoxicidade a levofloxacina risco aumentado em diabeticos
url https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1529
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AT rmarquesdossantos hepatotoxicidadealevofloxacinariscoaumentadoemdiabeticos
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