Clarithromycin induced acute pancreatitis: A rare side effect. Case report

Abdirahman Mohamed Hassan Dirie1, Abdullahi Hassan Abdinur1, Mohamed Abdi Osman2

  • 1Pulmonology Department, Mogadishu Somali Turkey Recep Tayyip Erdoğan Training and Research Hospital, Mogadishu, Somalia.

Insights

A rare side effect of clarithromycin, a macrolide antibiotic, is acute pancreatitis. This condition can occur during pneumonia treatment, highlighting a potential drug-induced complication.

Area of Science:

  • Pharmacology
  • Gastroenterology
  • Infectious Diseases

Background:

  • Pneumonia treatment often involves macrolide antibiotics like clarithromycin.
  • Acute pancreatitis is a serious inflammatory condition of the pancreas.
  • Drug-induced pancreatitis is a recognized but uncommon adverse effect of various medications.

Observation:

  • This report details a rare case of acute pancreatitis.
  • The patient was undergoing treatment for pneumonia with clarithromycin.
  • The pancreatitis developed as a potential adverse reaction to the prescribed antibiotic.

Findings:

  • Clarithromycin, a macrolide antibiotic, was identified as a potential cause of drug-induced acute pancreatitis.
  • The temporal association suggests a link between clarithromycin use and the onset of pancreatitis.
  • This adverse event is considered a rare complication of macrolide therapy.

Implications:

  • Clinicians should be aware of the potential for macrolide-induced acute pancreatitis in patients treated for pneumonia.
  • Early recognition and discontinuation of the causative agent may be crucial for patient management.
  • Further investigation into the mechanisms of drug-induced pancreatitis by macrolides is warranted.

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