Cardiac Left Bundle Branch Block and Pancytopenia in Anorexia Nervosa: Higher Risk with Mirtazapine and Pantoprazole? Case Report
| Autor: | Pierre Baumann, Alice Walder |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Pediatrics
medicine.medical_specialty Leukopenia Bundle branch block business.industry Left bundle branch block Mirtazapine macromolecular substances General Medicine medicine.disease Pancytopenia Discontinuation Psychiatry and Mental health Anorexia nervosa (differential diagnoses) hemic and lymphatic diseases Anesthesia medicine Pharmacology (medical) medicine.symptom business medicine.drug Pantoprazole |
| Zdroj: | Pharmacopsychiatry. 42:79-81 |
| ISSN: | 1439-0795 0176-3679 |
| DOI: | 10.1055/s-0028-1103290 |
| Popis: | A 36-year-old female patient suffering from anorexia nervosa of the restricting type, depression, symptoms of gastro-esophageal reflux and several cardiac abnormalities including left branch block was treated with mirtazapine and pantoprazole. Several hematological abnormalities appeared, i.e., a pancytopenia including a severe leukopenia (neutropenia), erythrocytopenia and a thrombocytopenia, which almost resumed upon discontinuation of medication. This situation of low nutrition represents probably an important risk factor for the development of severe hematological disturbances and cardiac alterations, including left branch block and it complicates pharmacotherapeutic interventions. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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