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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
|
pubmed:dateCreated |
1992-3-19
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pubmed:abstractText |
OBJECTIVE: To report a case of death due to Augmentin-induced cholestatic hepatitis and discuss a possible drug interaction between Augmentin and oestrogenic steroids. CLINICAL FEATURES, INTERVENTION AND OUTCOME: An 81-year-old man, on oestrogen therapy for prostatic malignancy, presented with obstructive jaundice one week after completing a four-week course of Augmentin for recurrent urinary tract infection. Liver biopsy showed features of a drug-induced cholestatic hepatitis with bile duct injury. His clinical course was marked by progressive deterioration with increasing jaundice and the development of hepatic encephalopathy. A course of prednisolone did not result in any improvement and he died nine weeks after the onset of jaundice. CONCLUSIONS: The cholestatic hepatitis induced by Augmentin is usually reversible but may be progressive, leading to death. The concurrent administration of ethinyloestradiol, a potentially cholestatic agent, may have altered the susceptibility and/or course of the reaction in this patient.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:month |
Feb
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pubmed:issn |
0025-729X
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:day |
17
|
pubmed:volume |
156
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
285-6
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pubmed:dateRevised |
2009-11-19
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pubmed:meshHeading |
pubmed-meshheading:1738330-Aged,
pubmed-meshheading:1738330-Aged, 80 and over,
pubmed-meshheading:1738330-Amoxicillin,
pubmed-meshheading:1738330-Amoxicillin-Potassium Clavulanate Combination,
pubmed-meshheading:1738330-Cholestasis,
pubmed-meshheading:1738330-Clavulanic Acids,
pubmed-meshheading:1738330-Drug Interactions,
pubmed-meshheading:1738330-Drug-Induced Liver Injury,
pubmed-meshheading:1738330-Estradiol Congeners,
pubmed-meshheading:1738330-Humans,
pubmed-meshheading:1738330-Male,
pubmed-meshheading:1738330-Prostatic Neoplasms,
pubmed-meshheading:1738330-Urinary Tract Infections
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pubmed:year |
1992
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pubmed:articleTitle |
Augmentin-induced jaundice with a fatal outcome.
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pubmed:affiliation |
Department of Gastroenterology, Royal Melbourne Hospital, VIC.
|
pubmed:publicationType |
Journal Article,
Case Reports
|