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Amiodarona Bağlı Nadir Görülen Bir Komplikasyon; Şiddetli Karın Ağrısı

Year 2017, Volume: 11 Issue: 1, 69 - 71, 01.04.2017

Abstract

Amiodaron yaygın olarak kullanılan antiaritmik bir ilaçtır. Tiroid fonksiyon bozukluğu, bradikardi, hepatit, korneada mikrodepozitler ve ışığa duyarlılık artışı olmak üzere birçok yan etkilere sahip olduğu bilinmektedir. Bu etkilerin birçoğu uzun süreli amiodaron kullanımına bağlı dokuda birikmesiyle ilişkilidir. Kısa süreli amiodaron kullanımına bağlı akut hepatit, böbrek yetmezliği, akut pankreatit, yaygın kas krampları ve şiddetli karın ağrısı nadir görülen akut yan etkiler olarak bilinmektedir. Literatürde amiodaron yükleme tedavisi sırasında şiddetli karın ağrısıyla seyreden olgu bildirimlerine rastlamadık. İntravenöz amiodaron yüklemesi sırasında şiddetli karın ağrısına yol açan ve tedavi yönteminin değiştirilmesine neden olan amiodaronun, bu nadir görülen yan etkisine dikkat çekmek için olgumuz sunulmuştur.

References

  • Chen YY, Chen CY, Leung KK. Acute pancreatitis and amiodarone: A case report. World J Gastroenterol 2007;13:975-7.
  • Rhodes A, Eastwood JB, Smith SA. Early acute hepatitis with parenteral amiodarone: a toxic effect of the vehicle? Gut 1993;34:565-6.
  • Roy D, Talajic M, Dorian P, Connolly S, Eisenberg MJ, Green M, et al. Amiodarone to prevent recurrence of atrial fibrillation. Canadian Trial of Atrial Fibrillation Investigators. N Engl J Med 2000;342:913- 20.
  • Cataldi A,  Gonella D,  Robutti N,  Siri M,  Buonocore S,  Odetti P.  Hepatotoxicity after intravenous  amiodarone.  Aging Clin Exp Res 2008;20:593-6.
  • Connolly SJ. Evidence-based analysis of amiodarone efficacy and safety. Circulation 1999;100:2025-34.
  • Willis MS, Lugo AM. Amiodarone-induced neurotoxicity. Am J Health Syst Pharm 2009;66:567-9.
  • Path GJ, Dai XZ, Schwartz JS, Benditt DG, Bache RJ. Effects of amiodarone with and without polysorbate 80 on myocardial oxygen consumption and coronary blood flow during treadmill exercise in the dog. J Cardiovasc Pharmacol 1991;18:11-6.

A Rare Complication Related to Amiodarone; Severe Abdominal Pain

Year 2017, Volume: 11 Issue: 1, 69 - 71, 01.04.2017

Abstract

Amiodarone, commonly used antiarrhythmic drug, has many side effects including thyroid function disorder, bradycardia, corneal microdeposits, hepatitis and increased sensitivity to light. Most of these effects result from accumulation of amiodarone in tissue, which is a consequence of long-term usage of this drug. Acute hepatitis, renal failure, acute pancreatitis, widespread muscle cramps and severe abdominal pain due to short-term use of amiodarone are rare acute side effects. However, we have not found any case reports in the literature about severe abdominal pain during a loading dose of amiodarone. With this case report, we aim to emphasize this rare side effect of amiodarone where a change in treatment is required

References

  • Chen YY, Chen CY, Leung KK. Acute pancreatitis and amiodarone: A case report. World J Gastroenterol 2007;13:975-7.
  • Rhodes A, Eastwood JB, Smith SA. Early acute hepatitis with parenteral amiodarone: a toxic effect of the vehicle? Gut 1993;34:565-6.
  • Roy D, Talajic M, Dorian P, Connolly S, Eisenberg MJ, Green M, et al. Amiodarone to prevent recurrence of atrial fibrillation. Canadian Trial of Atrial Fibrillation Investigators. N Engl J Med 2000;342:913- 20.
  • Cataldi A,  Gonella D,  Robutti N,  Siri M,  Buonocore S,  Odetti P.  Hepatotoxicity after intravenous  amiodarone.  Aging Clin Exp Res 2008;20:593-6.
  • Connolly SJ. Evidence-based analysis of amiodarone efficacy and safety. Circulation 1999;100:2025-34.
  • Willis MS, Lugo AM. Amiodarone-induced neurotoxicity. Am J Health Syst Pharm 2009;66:567-9.
  • Path GJ, Dai XZ, Schwartz JS, Benditt DG, Bache RJ. Effects of amiodarone with and without polysorbate 80 on myocardial oxygen consumption and coronary blood flow during treadmill exercise in the dog. J Cardiovasc Pharmacol 1991;18:11-6.
There are 7 citations in total.

Details

Other ID JA98UG83ZF
Journal Section Case Report
Authors

Kahraman Yakut This is me

İlkay Erdoğan This is me

Buket Daldaban This is me

Publication Date April 1, 2017
Submission Date April 1, 2017
Published in Issue Year 2017 Volume: 11 Issue: 1

Cite

Vancouver Yakut K, Erdoğan İ, Daldaban B. A Rare Complication Related to Amiodarone; Severe Abdominal Pain. Türkiye Çocuk Hast Derg. 2017;11(1):69-71.


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