Linezolid-induced pancreatitis associated with lactic acidosis and relative hypoglycemia: A rare case report

Autor: Gi Eun Kim, Soubiya Ansari, Ateeque Ali, Ehab Adams, Mugahid Eltahir
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: European Journal of Case Reports in Internal Medicine (2023)
Druh dokumentu: article
ISSN: 2284-2594
DOI: 10.12890/2023_004041
Popis: Background: Linezolid is known to cause side effects, including nausea, diarrhea, and headaches of short duration. As extended use of linezolid is becoming more common, additional rare side effects should be considered. Case Presentation: A 68-year-old man hospitalized for osteomyelitis developed severe abdominal pain and altered mental status following five weeks of linezolid therapy. Laboratory studies showed very high lipase levels, lactic acidosis not responding to resuscitation, and relative hypoglycemia. All common causes of pancreatitis were ruled out, and a trial of linezolid withdrawal was done resulting in drastic improvement in the patient's clinical status. Conclusions: For patients on extended course of linezolid who develop abdominal pain, drug-induced pancreatitis should be considered as a side effect, and a trial of withdrawal of linezolid should be undertaken.
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