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Ceftriaxone-induced acute pancreatitis

A E Zimmermann1, B G Katona, J S Jodhka

  • 1Department of Pharmacy, Harbor Hospital Center, Baltimore, MD 21230.

The Annals of Pharmacotherapy
|January 1, 1993
PubMed
Summary

Ceftriaxone, an antibiotic, may cause acute pancreatitis. A patient with short-bowel syndrome developed pancreatitis after receiving ceftriaxone, with symptoms resolving after discontinuation, suggesting a probable drug-induced adverse effect.

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Area of Science:

  • Gastroenterology
  • Pharmacology
  • Clinical Medicine

Background:

  • Short-bowel syndrome (SBS) patients often require home total parenteral nutrition (TPN).
  • Catheter-related bloodstream infections (CRBSI) are a common complication in TPN-dependent patients.
  • Antibiotic therapy is crucial for managing sepsis in immunocompromised individuals.

Observation:

  • A TPN-dependent SBS patient developed gram-negative catheter sepsis.
  • The patient was treated with intravenous ceftriaxone for sepsis.
  • Following ceftriaxone initiation, the patient presented with symptoms of acute pancreatitis.

Findings:

  • The patient exhibited elevated lipase and amylase levels, jaundice, and abdominal pain.
  • Discontinuation of ceftriaxone led to the resolution of pancreatitis symptoms.

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  • No other causative factors for pancreatitis were identified.
  • Implications:

    • Ceftriaxone is a potential cause of drug-induced acute pancreatitis.
    • Clinicians should consider ceftriaxone when evaluating patients with acute pancreatitis.
    • Further research is needed to elucidate the mechanism of ceftriaxone-induced pancreatitis.