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1996-02-27
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Document 0615
DOCN M9630615
TI Hepatotoxicity of antibiotics.
DT 9603
AU Hautekeete ML; Department of Hepato-Gastroenterology, Free University
of; Brussels (AZ-VUB), Belgium.
SO Acta Gastroenterol Belg. 1995 May-Aug;58(3-4):290-6. Unique Identifier :
AIDSLINE MED/96076758
AB Several antibiotics can cause severe hepatic injury. It is the purpose
of this paper to review the main antibiotics that can cause hepatic
injury and discuss the presentation, pattern, and outcome of hepatic
injury. In the case of the penicillins, the combination
amoxycillin-clavulanate and the penicillinase-resistant penicillins
oxacillin, (di-)cloxacillin, and flucloxacillin can cause (mainly
cholestatic) hepatitis. Cephalosporins have little hepatotoxicity;
ceftriaxone can cause drug-induced gallstones. The potential of
erythromycin and several other macrolides to cause (usually cholestatic)
hepatitis is well established. Tetracyclines can cause a syndrome
mimicking acute fatty liver of pregnancy, but this complication has
virtually disappeared. Quinolones seem to be able to cause cholestasis.
Sulfamethoxazole/trimethoprim can cause severe hepatotoxicity,
especially in patients with acquired immunodeficiency syndrome (AIDS).
Finally, nitrofurantoin can cause acute cholestatic and hepatocellular
reactions as well as chronic hepatitis mimicking chronic auto-immune
hepatitis.
DE Adult Anti-Infective Agents, Quinolone/TOXICITY Antibiotics/*TOXICITY
Antibiotics, Macrolide/TOXICITY Cephalosporins/TOXICITY Child Female
Hepatitis, Toxic/*ETIOLOGY Human Liver/*DRUG EFFECTS Male
Nitrofurantoin/TOXICITY Penicillins/TOXICITY Pregnancy
Tetracyclines/TOXICITY Trimethoprim-Sulfamethoxazole
Combination/TOXICITY JOURNAL ARTICLE REVIEW REVIEW, TUTORIAL
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).