Voriconazole-induced periostitis in a patient with HIV treated for coccidioidomycosis meningitis.
BMJ Case Rep
; 17(1)2024 Jan 25.
Article
em 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.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Periostite
/
Infecções por HIV
/
Meningite Fúngica
/
Coccidioidomicose
Tipo de estudo:
Diagnostic_studies
Limite:
Humans
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article