Iatrogenic Cushing Syndrome Secondary to Ritonavir-Epidural Triamcinolone Interaction : An Illustrative Case and Review
المؤلفون المشاركون
Sadarangani, Sapna
Berg, Melody L.
Mauck, William
Rizza, Stacey
المصدر
Interdisciplinary Perspectives on Infectious Diseases
العدد
المجلد 2014، العدد 2014 (31 ديسمبر/كانون الأول 2014)، ص ص. 1-7، 7ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2014-05-07
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الملخص EN
HIV positive patients on ritonavir-containing antiretroviral therapy (ART) can develop iatrogenic Cushing syndrome (IACS) and adrenal insufficiency as a result of drug-drug interactions with inhaled or intranasal glucocorticoid therapy.
Reports related to epidural triamcinolone injections are relatively uncommon but increasingly reported.
We describe a 48-year-old woman with immunologically and virologically well-controlled HIV on ritonavir-based ART, who developed headache, dizziness, and candida and herpes simplex virus (HSV) ulcerative esophagitis 7 days after receiving an epidural triamcinolone injection for cervical radicular pain.
Iatrogenic Cushing syndrome and relative adrenal insufficiency were suspected and proven.
The patient’s ART was changed to a non-HIV protease inhibitor- (PI-) containing program, her symptoms improved, and she did not require hydrocortisone replacement.
In this paper, we review the literature on IACS and relative secondary adrenal insufficiency from epidural triamcinolone injections in HIV patients on ritonavir-containing ART regimens.
A high index of clinical suspicion is needed for diagnosis.
Prevention of drug-drug interactions by taking a thorough medication history for patients on ritonavir-containing ART regimens before prescribing any form of corticosteroid is crucial and effective and sustained interdisciplinary communication in the care of such patients.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Sadarangani, Sapna& Berg, Melody L.& Mauck, William& Rizza, Stacey. 2014. Iatrogenic Cushing Syndrome Secondary to Ritonavir-Epidural Triamcinolone Interaction : An Illustrative Case and Review. Interdisciplinary Perspectives on Infectious Diseases،Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-503124
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Sadarangani, Sapna…[et al.]. Iatrogenic Cushing Syndrome Secondary to Ritonavir-Epidural Triamcinolone Interaction : An Illustrative Case and Review. Interdisciplinary Perspectives on Infectious Diseases No. 2014 (2014), pp.1-7.
https://search.emarefa.net/detail/BIM-503124
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Sadarangani, Sapna& Berg, Melody L.& Mauck, William& Rizza, Stacey. Iatrogenic Cushing Syndrome Secondary to Ritonavir-Epidural Triamcinolone Interaction : An Illustrative Case and Review. Interdisciplinary Perspectives on Infectious Diseases. 2014. Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-503124
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-503124
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر