Life-Threatening Tumor Lysis Syndrome Within 12 Hours of a Single Dose of Corticosteroid in a Patient with Lymphoma

Autor: Grady Wick, Damiano Rondelli, Jose A.L. Arruda, April Brooks, Kalyani Perumal, Jerrold S. Levine
Rok vydání: 2009
Předmět:
Zdroj: Kidney. 18:125-128
ISSN: 1865-5068
0940-7936
DOI: 10.1007/s00596-009-0090-5
Popis: Tumor lysis syndrome is an oncologic emergency characterized by electrolyte derangements and the frequent development of acute renal failure. We describe a patient with acute lymphoblastic lymphoma in whom rapid and severe tumor lysis syndrome developed within 10 h of the administration of a single dose of corticosteroid. Our case and a review of the literature indicate that patients with lymphoproliferative malignancies given a single dose of corticosteroid may be at significant risk for rapid and life-threatening tumor lysis syndrome. We recommend that such patients receive aggressive and frequent laboratory monitoring even in the setting of appropriate prophylaxis.
Databáze: OpenAIRE