Liver Transplant Due to Flupirtine-Induced Acute Liver Failure.
Exp Clin Transplant
; 18(4): 481-484, 2020 08.
Article
en En
| MEDLINE
| ID: mdl-32635884
ABSTRACT
OBJECTIVES:
Acute drug-induced liver failure is a rare indication for liver transplant. There is only one case of flupirtine-induced liver failure requiring transplant in the literature. In February 2018, the European Medicines Agency issued a withdrawal of approval for flupirtine medication in European countries as a result of the risk of acute liver failure. MATERIALS ANDMETHODS:
The aim of this study was a German-wide collection of data regarding patients with liver transplant as a result of flupirtine-associated liver failure.RESULTS:
A total of 9 patients received transplants. All patients were women with a mean age of 43 years. Indication for flupirtine medication was musculoskeletal symptoms and migraine headache. The medication was taken over a period of approximately 3 months. All patients developed progressive acute liver failure, and no patient had previous chronic liver disease or cirrhosis. The mean laboratory Model for End Stage Liver Disease score for the patients was 31 ± 7 at time of transplant. Eight of the 9 patients were listed as "high urgency" for transplant. After transplant, they had an uneventful course with a prolonged mean intensive care unit stay of 13 ± 8.7 days. The whole hospitalization time was 43 ± 21 days.CONCLUSIONS:
This is the largest published series of patients who received liver transplant after a drug-induced acute liver failure from flupirtine medication.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Trasplante de Hígado
/
Fallo Hepático Agudo
/
Enfermedad Hepática Inducida por Sustancias y Drogas
/
Aminopiridinas
/
Analgésicos
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Adult
/
Female
/
Humans
País/Región como asunto:
Europa
Idioma:
En
Revista:
Exp Clin Transplant
Asunto de la revista:
TRANSPLANTE
Año:
2020
Tipo del documento:
Article
País de afiliación:
Alemania