Voriconazole-induced periostitis in a patient with HIV treated for coccidioidomycosis meningitis.
BMJ Case Rep
; 17(1)2024 Jan 25.
Article
en En
| MEDLINE
| ID: mdl-38272516
ABSTRACT
Voriconazole-induced periostitis is a rare adverse effect in patients on long-term therapy, characterised by periosteal inflammation and associated bony pain. The accompanying lab abnormalities (elevated serum alkaline phosphatase and fluoride) and characteristic imaging findings (uptake of radionuclide tracer on nuclear bone scan) are critical for diagnosis. The disease process is thought to be secondary to excess fluoride from voriconazole which stimulates bone formation and decreases osteoclast bone resorption. Management includes stopping voriconazole and switching to another agent.
Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Periostitis
/
Infecciones por VIH
/
Meningitis Fúngica
/
Coccidioidomicosis
Tipo de estudio:
Diagnostic_studies
Límite:
Humans
Idioma:
En
Revista:
BMJ Case Rep
/
BMJ case reports
Año:
2024
Tipo del documento:
Article
País de afiliación:
Estados Unidos