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Amoxycillin/clavulanic acid (augmentin)-induced intrahepatic cholestasis

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Summary

A 75-year-old man developed a biopsy-proven, drug-induced intrahepatic cholestasis after use of amoxycillin trihydrate combined with the Β-lactam inhibitor potassium clavulanate (Augmentin). Cholestatic liver injury is an uncommonly recognized, probably immunologically based adverse reaction to therapy with penicillin and its derivatives.

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References

  1. Zimmerman HJ, Maddrey WC: Toxic and drug-induced Hepatitis.In Diseases of the Liver. L Schiff, ER Schiff (eds). Lippincott, Philadelphia, 1981, pp 621–692

    Google Scholar 

  2. Biour M, Poupon R, Calmus Y, et al: Hepatotocicite des Medicamantes—fichier bibliographaique des attientes hepatiques et des medicamantes responsables. Gastroenterol Clin Biol 11:56–67, 1987

    PubMed  Google Scholar 

  3. Williams CN, Malatjalian DA: Severe penicillin-induced cholestasis in a 91-year-old female. Dig Dis Sci 26(5):470–474, 1981

    PubMed  Google Scholar 

  4. Victorino Rui MM, Maria Vaco A, Correia A Pinto, de Moura C: Floxacillin-induced cholestatic hepatitis with evidence of lymphocyte sensitization. Arch Intern Med 147(5): 987–989, 1987

    PubMed  Google Scholar 

  5. Deboever G: Cholestatic jaundice due to derivatives of oxacillin. Am J Gastroenterol 82(5):483, 1987

    PubMed  Google Scholar 

  6. Konikoff F, Alcalay J, Halevy J: Cloxacillin-induced cholestatic jaundice. Am J Gastroenterol 81(11):1082–1083, 1986

    PubMed  Google Scholar 

  7. Bengsston F, Floren CH, Hagerstrand I, Sodestrom C, Aberg T: Flucloxacillin-induced cholestatic liver damage. Scand J Infect Dis 17:125–128, 1985

    PubMed  Google Scholar 

  8. Enat R, Pollack S, Ben-arieh Y, Livni E, Barzilai D: Cholestatic jaundice caused by cloxacillin—macrophage inhibition factor test in preventing rechallenge with hepatotoxic drugs. Br Med J 280:982–983, 1980

    PubMed  Google Scholar 

  9. Aderka D, Livni E, Salmon F, Weingerger A, Pinkhas J. Use of macrophage inhibition factor and mast cell degranulation tests for diagnosis of cloxacillin-induced cholestasis. Am J Gastroenterol 81(11):1084–1086, 1986

    PubMed  Google Scholar 

  10. Mandell GL, Sande MA: Antimicrobial Agents—Penicillins, Cephalosporins, and other Β-lactam antibiotics. Goodman and Gillman, New York, Macmillan, 1985, Chapter 50, pp 1115–1147

    Google Scholar 

  11. Abraham EP, Chain EB: An enzyme from bacteria able to destroy penicillin. Nature 146:837, 1940

    Google Scholar 

  12. Parker RH, Eggleston M: Beta-lactamase inhibitors—another approach to overcoming antimicrobial resistance. Infect Control 8(1):36–40, 1987

    PubMed  Google Scholar 

  13. Conner CS: Β-Lactamase inhibitors. Drug Intell Clin Pharm 19(6):475–476, 1985

    PubMed  Google Scholar 

  14. Amoxycillin-clavulanic acid. Med Lett Drugs Ther 9:99–100, 1984

  15. Waugh D: Myocarditis, arteritis, focal hepatic, splenic and renal granulomas apparently due to penicillin sensitivity. Am J Pathol 28:437–447, 1952

    PubMed  Google Scholar 

  16. Kishida H, Kisaka Y, Matsubayashi S, et al: Clinical evaluation of clavulanic acid-amoxycillin in the fields of obstetrics and gynaecology. Jpn J Antibiot 36(3):487–499, 1983

    PubMed  Google Scholar 

  17. Karachalions GN: Treatment of respiratory tract infections with a combination of amoxycillin and clavulancic acid. Int J Clin Pharmacol Ther Toxicol 23(12):647–649, 1985

    PubMed  Google Scholar 

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Dowsett, J.F., Gillow, T., Heagerty, A. et al. Amoxycillin/clavulanic acid (augmentin)-induced intrahepatic cholestasis. Digest Dis Sci 34, 1290–1293 (1989). https://doi.org/10.1007/BF01537281

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  • DOI: https://doi.org/10.1007/BF01537281

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