Nimesulide-induced acute hepatitis
نویسندگان
چکیده
Nimesulide is a non-steroidal anti-inflammatory drug with a semiselective preferential inhibition of cyclooxygenase2. We present a 57 year-old patient with jaundice and increased serum aminotransferases levels, who had been treated with nimesulide for the previous 10 days. Laboratory examinations excluded other causes of acute liver injury. Liver biopsy revealed lesions compatible with drug-induced hepatotoxicity. Bilirubin and liver enzymes returned to normal within three months of nimesulide disccutinuation. In conclusion, use of nimesulide should be included among the causes of acute hepatitis. An established drugassociated hepatotoxicity will result in the immediate withdrawal of the drug in case of liver injury and the avoidance of its future use in certain individuals.
منابع مشابه
Nimesulide induced leukocytoclastic vasculitis and hepatitis: a case report
BACKGROUND Nimesulide is a non-steroidal anti-inflammatory drug with antipyretic and analgesic properties, which is still used in many countries despite its known hepatotoxicity. Along with hepatotoxicity it has also been associated with several other Adverse Drug Reactions (ADRs) including leukocytoclastic vasculitis (LCV). CASE DESCRIPTION A 38 year-old female presented with history of acut...
متن کاملNimesulide-induced hepatotoxicity and fatal hepatic failure.
Non-steroidal anti-inflammatory drugs (NSAIDs) and cyclo-oxygenase-2 (cox-2) inhibitors are structurally heterogeneous drugs that share similar therapeutic actions and adverse effects. Hepatotoxicity, although a relatively rare adverse effect of this class of drugs, can be severe. This has led to the withdrawal of some NSAIDs from the market. Nimesulide is an NSAID, with cox-2 preference, which...
متن کاملCohort study of hepatotoxicity associated with nimesulide and other non-steroidal anti-inflammatory drugs.
OBJECTIVE To estimate the risk of acute hepatotoxicity associated with nimesulide compared with other non-steroidal anti-inflammatory drugs. DESIGN Retrospective cohort and nested case-control study. SETTING Umbria region, Italy. PARTICIPANTS 400 000 current, recent, and past users (almost 2 million prescriptions) of non-steroidal anti-inflammatory drugs between 1 January 1997 and 31 Dece...
متن کاملAnti-inflammatory effects of selective COX-2 inhibitors.
In this study, effects of rofecoxib, celecoxib, nimesulide on the acute phase of inflammation were studied in the carrageenan-induced paw edema model and their influence on the chronic phase of inflammation was evaluated in the cotton pellet granuloma tests. Additionally, effects of these drugs on capillary vascular permeability were examined in the hyaluronidase test and were compared with tha...
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تاریخ انتشار 2005