Quinidine hypersensitivity: a side effect of a forgotten antiarrhythmic.


Journal

BMJ case reports
ISSN: 1757-790X
Titre abrégé: BMJ Case Rep
Pays: England
ID NLM: 101526291

Informations de publication

Date de publication:
24 Aug 2020
Historique:
entrez: 27 8 2020
pubmed: 28 8 2020
medline: 16 2 2021
Statut: epublish

Résumé

Quinidine is one of the oldest antiarrhythmics known. Over the years, its use has decreased along with its side effects. Our case describes a 69-year-old woman with recurrent resistant ventricular tachycardia on Quinidine and Amiodarone who presented with acute liver toxicity. Drug-induced liver toxicity was at the top of our differential diagnosis list. Taking multiple factors into consideration, a decision was made to discontinue Quinidine, the patient's symptoms and lab abnormalities resolved within 1 week, yielding the diagnosis of Quinidine hypersensitivity.

Identifiants

pubmed: 32843415
pii: 13/8/e235528
doi: 10.1136/bcr-2020-235528
pmc: PMC7449301
pii:
doi:

Substances chimiques

Anti-Arrhythmia Agents 0
Quinidine ITX08688JL
Amiodarone N3RQ532IUT

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Commentaires et corrections

Type : RepublishedIn

Informations de copyright

© BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

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Auteurs

Layan El-Khatib (L)

Internal Medicine, Henry Ford Hospital, Detroit, Michigan, USA lelkha1@hfhs.org.

Hussayn Alrayes (H)

Internal Medicine, Henry Ford Hospital, Detroit, Michigan, USA.

Omar Sallam (O)

Internal Medicine, Henry Ford Hospital, Detroit, Michigan, USA.

Ahmed Elbanna (A)

Internal Medicine, Henry Ford Hospital, Detroit, Michigan, USA.

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Classifications MeSH