...
首页> 外文期刊>Diabetic medicine: A journal of the British Diabetic Association >Severe statin-induced rhabdomyolysis mimicking Guillain-Barre syndrome in four patients with diabetes mellitus treated with fusidic acid.
【24h】

Severe statin-induced rhabdomyolysis mimicking Guillain-Barre syndrome in four patients with diabetes mellitus treated with fusidic acid.

机译:在用夫西地酸治疗的四名糖尿病患者中,他汀类药物引起的严重横纹肌溶解症类似于吉兰-巴雷综合征。

获取原文
获取原文并翻译 | 示例
           

摘要

BACKGROUND: An interaction between fusidic acid and HMG coenzyme A reductase inhibitors (statins), resulting in rhabdomyolysis, has been described. Pain and mild weakness are common presenting symptoms. CASE REPORT: We report four patients with Type 2 diabetes prescribed long-term statin treatment who, following treatment with fusidic acid, presented atypically with painless, severe flaccid paralysis suggestive of Guillain-Barre syndrome. This, together with nerve conduction studies consistent with Guillain-Barre syndrome, resulted in the delayed recognition of rhabdomyolysis in these cases. CONCLUSIONS: The addition of fusidic acid can precipitate rhabdomyolysis in patients with diabetes already taking a statin. This can present with rapidly progressive weakness resembling Guillain-Barre syndrome. We recommend that creatine kinase is checked in patients with diabetes on statin therapy who present with profound weakness and routinely in those commenced on prolonged courses of fusidic acid.
机译:背景:梭链孢酸和HMG辅酶A还原酶抑制剂(他汀类药物)之间的相互作用已引起横纹肌溶解。疼痛和轻度无力是常见的症状。病例报告:我们报告了4名接受长期他汀类药物治疗的2型糖尿病患者,他们接受夫西地酸治疗后,典型地表现出无痛性,严重的松弛性麻痹,提示Guillain-Barre综合征。这与符合Guillain-Barre综合征的神经传导研究一起,导致在这些情况下横纹肌溶解的识别延迟。结论:夫西地酸的添加可以使已经服用他汀类药物的糖尿病患者发生横纹肌溶解。这可能会表现出快速发展的无力,类似于格林-巴利综合征。我们建议对他汀类药物治疗的糖尿病患者进行肌酸激酶检查,这些患者表现出严重的虚弱表现,而常规治疗在夫西地酸疗程较长的患者中应常规进行。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号